TCTAP C-093 Complex PCI for RCA Ostial Chronic Total Occlusion with Ostial Left Main Disease

Syphilitic ostial occlusion.

A patient presenting the picture of congestive cardiomyopathy was found to have syphilitic obliteration of the left coronary artery. Aortic regurgitation, angina, and myocardial infarction were notably absent.

Luetic aortitis causing severe left main ostial stenosis.

Isolated left coronary ostial occlusion detected by multislice computed tomography

Successful management of ostial left main thrombus by systemic thrombolysis.

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . doi:10.1093/eurheartj/ehq416 Online publish-ahead-o...

Chronic total left main coronary artery occlusion.

A 65 year old man, smoker, presented with a history of exertional shortness of breath over the last 4 months. He denied any chest discomfort. On examination jugular venous distension was noted with bilateral basal crackles. He got symptomatic relief after treatment with diuretics and nitrates. His echocardiogramme revealed global hypokinesia of left ventricle with severe mitral regurgitation. H...