Case and Plan:
77-year-old female presented with CCS Class II angina and progressive DOE. Patient had negative stress MPI one year ago and recent CCTA revealed LAD/Diagonal bifurcation and LCx-OM1 lesions. A Cardiac Cath on February 10, 2026 revealed calcified 2 V CAD: 90-95% mid LAD/Diagonal bifurcation (1,1,1) lesion, 80% LCx-OM1 ostial lesion with SYNTAX Score of 20 and LVEF 60%. Patient underwent successful PCI of LCx-OM1 using atherotomy and DCB procedure. Patient is now planned for staged PCI of LAD-D1 bifurcation using Mini-Crush technique.
