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- Mar 7, 2006
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54 yr old with history of DM, Dyslipidemia, chronic smoker admitted with exertional dyspnea.
TTE showed no wall motion abnormalities and EF of 67.6%
LHC showed
LMCA: normal
LAD: branch of second diagonal totally occluded at ostium and is retrogadely getting filled from second diagonal. Otherwise normal.
LCx: Non dominant and shows total occlusion in the mid part with faint antegrade flow. Collaterals to LCX are seen from septal branches of LAD.
RCA: mild disease 40-50%. Collaterals to LCX are from RCA.
No history of MI, PCI, CABG.
What is the best diagnostic/treatment option for this patient?
TTE showed no wall motion abnormalities and EF of 67.6%
LHC showed
LMCA: normal
LAD: branch of second diagonal totally occluded at ostium and is retrogadely getting filled from second diagonal. Otherwise normal.
LCx: Non dominant and shows total occlusion in the mid part with faint antegrade flow. Collaterals to LCX are seen from septal branches of LAD.
RCA: mild disease 40-50%. Collaterals to LCX are from RCA.
No history of MI, PCI, CABG.
What is the best diagnostic/treatment option for this patient?