Case Study – Treatment of Ostial RCA PCI

Treatment of Ostial RCA PCI in an Octogenarian

with multi vessel disease and severe Aortic stenosis

Clinical Presentation/ Diagnosis:

1. 82 years / Female, with chest pain since 1 week, SOB 1 week, SOB on exertion
2. CAD- unstable Angina, Status post PTCA(2009)

Findings:

1. LMCA normal,
2. LAD – Type 3 vessel, Ostial LAD CTO, Distal LAD filling retrogradely via LCX
3. LCX- Non dominant, no ISR, OM normal
4. RCA- Dominant , Ostial 90-99% calcific stenosis

Plan of Procedure:

1. PTCA/Stent to RCA & LAD-CTO