heart123
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he was prepped and draped in the routine sterile fashion after informed consent was obtained. The right groin was locally anesthetized. A JL4 was placed in the left coronary system with diffuse coronary calcification. Left main is patent. The LAD had proximal to mid eccentric 80 to 90% sequential stenosis with a contained ulcerated plaque. The diagonal had ostial 70% to 80% stenosis. Circumflex had diffuse luminal irregularities. JL4 was removed and a 3DRC was placed and the right coronary artery. The RCA had mid up to 80% stenosis and distal 30% to 40% stenosis. The 3DRC was then repositioned to the left subclavian. The LIMA is patent. Pigtail catheter was then placed in left ventricle. LVEDP 16, LV systolic pressure is 150. On pullback, the aortic pressure 148/65 with a mean of 98. The patient tolerated the procedure well and there were no complications. The sheath was removed in the cath lab with good hemostasis.
IMPRESSION:
1. Left main is patent.
2. LAD with sequential proximal to mid up to 80 to 90% eccentric stenosis with a contained ulcerated plaque. The diagonal has ostial 70% to 80% bifurcating lesion. The circumflex had diffuse luminal irregularities. The RCA had mid 80%, distal 30% to 40%
IMPRESSION:
1. Left main is patent.
2. LAD with sequential proximal to mid up to 80 to 90% eccentric stenosis with a contained ulcerated plaque. The diagonal has ostial 70% to 80% bifurcating lesion. The circumflex had diffuse luminal irregularities. The RCA had mid 80%, distal 30% to 40%