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Burr induced guide-tip damage during rotational atherectomy of an aberrant left main stem
  1. Bethan Freestone,
  2. Peter F Ludman,
  3. Sagar N Doshi
  1. University Hospital Birmingham, Birmingham, UK
  1. Correspondence to Sagar N Doshi; sagar.doshi{at}

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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 …

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  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; not externally peer reviewed.