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Diagnosis of an abnormality of the left main coronary
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A 74-year-old lady presented with chest pain 2 months after PCI treatment of a non-ST elevation myocardial infarction. Her past medical history was notable for systemic lupus erythematosus, hypertension and hypercholesterolaemia.
During the previous percutaneous coronary intervention (PCI), both the right coronary artery and left anterior descending (LAD) had been treated with stents.
During this procedure, the left main stem (LMS) was noted to have minor irregularity (figure 1A,B) but this was not considered to be obstructive.
She had been pain-free for 2 months, …