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A 56-year-old male was admitted to our institution for percutaneous coronary intervention (PCI) of a left main (LM) bifurcation lesion. Since LM dimensions were very large (reference vessel diameter [RVD] 5.1mm at intravascular ultrasound [IVUS]), an aneurysm in the proximal left circumflex (LCx) (RVD 5.2mm at IVUS) was present (Panels A,B, Online-Video 1) and no severe coronary calcification was evident, we chose to implant two self-apposing stents. Accordingly, after performing pre-dilatation with semi-compliant balloons, a 3.5-4.5x22mm sirolimus-eluting stentwas deployed from LM to LCx and a 3.5-4.5x17mm sirolimus-eluting stent was implanted from LM to ...
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