Article Text
Images in cardiology
Burr induced guide-tip damage during rotational atherectomy of an aberrant left main stem
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- Left main stem
- rotational atherectomy
- percutaneous coronary intervention
- aberrant coronary artery
- coronary stenting
- rotablation
- coronary artery disease (CAD)
An 87-year-old man presented with chest pain. ECG showed widespread ischaemia and biomarkers were elevated. Coronary angiography showed a single, aberrant coronary artery arising from the right sinus (panel A). The left main stem was heavily calcified and severely diseased (panel A arrow). In view of calcification rotational atherectomy was employed using a 1.75 and …