Senior Vice-President, Operations & Quality, Mount Sinai Heart
Director, Interventional Cardiology Mount Sinai Health System
President, Mount Sinai Fuster Heart Network
Anandi Lal Sharma Professor of Medicine (Cardiology)
Interventional Director, Structural Heart Program
Director, Interventional Cardiology Fellowship
Zena and Michael A. Wiener Professor of Medicine
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Case and Plan:
83-year-old male with severe COPD presented with CCS Class IV angina and normal troponins. A Cardiac Cath on June 6, 2025 revealed calcified 3 V CAD: 100% proximal RCA, multiple 80-95% LAD lesions with subtotal large D1, 95% proximal LCx-OM1 with SYNTAX Score of 43 and EF 65%. After Heart Team discussion, CABG was declined due to COPD and lymphoma and underwent successful PCI of LCx-OM1. Patient is now planned for staged PCI of multiple long calcified LAD bifurcation lesions using RA and Mini-Crush technique.
*This activity has been approved for AMA PRA Category 1 Credits™
