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Shooting date : 2017-09-13
Last update : 2017-10-31
Language(s) : English
Clinical Data
  • Patient: Male, 54 years old
  • 2005 CTO PCI of the RCA with DES
  • 2011 CTO PCI of the LAD with DES
  • Asymptomatic for several years
  • No concomitant diseases known
  • CVRF: former smoker (10py), hypertension, dyslipidemia,  IDDM
  • Echo: LVEF 65%, normal
  • MRI: Normal LVEF, full viability, large inferior ischemia
  • Renal function: eGFR = 93 ml/min/1.73m2
  • Since 3 month angina pectoris CCS II
  • SPECT with inferior ischemia. Sent for CAG
  • CAG 5.9.17: LAD 50% with good result in DES, CX without stenosis, in-stent reocclusion of the RCA
  • J-CTO score: 1
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CTO of mid RCA

Dr Weilenmann & Dr Leibundgut

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