RIGHT FEMORAL ANGIOGRAPHY: The right common femoral artery is heavily calcified and seve\ely
diseased. The shpth oritera the rinht nnmmnn femnml There is runoff into the su~erficiafle moral and
profunda fernoris.
LEFT FEMORAL ARTERIOGRAPHY: The left common femoral artery is severely diseased and h&vily
calcified. The sheath enters the left common femoral. There is good runoff into the superficial femoral
and profunda fernoris.
LEFT SUBCLAVIAN ANGIOGRAPHY: There is calcif~dpl aque at the origin of the left subclavian, but
there does not appear to be any obstructive stenosis. Pressure pullback was performed across this area
and the pressure in the subclavian and the pressure in the left internal mammary artery started at 95 to
100 systolic, and back in the aorta was 112 systolic and maximum gradient was in the range of 12-15
mmHg peak gradient.
LEFT INTERNAL MAMMARY ARTERY ANGIOGRAPHY: Left internal mammary artery appeared
smooth walled, but was small in caliber, only approximately 2 mm in luminal diameter. It did reach down
to the level of the diaphragm.
LEFT CORONARY ARTERIOGRAPHY: The left coronary is highly calcified and severely diseased.
There is an 80% to 90% ostial left main coronary stehosis, which is heavily calcified. There is flow into
the left circumflex and then up the bypass graft back close to the origin of the bypass graft in the aorta,
where it is anastomosed to another limb of the grafl, which then feeds down to the LAD.
AORTIC CORONARY SAPHENOUS VEIN GRAFT ANGIOGRAPHY: The bypass graft to the LAD and
obtuse marginal is totally occluded at the aorta.
