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
Case and Plan:
37-year-old male presented with CCS Class II angina with negative stress MPI, but coronary CTA revealing multivessel CAD with +ctFFR. A Cardiac Cath on January 24, 2025 revealed 3 V + LM CAD: 60-70% mid RCA with negative FFR and ulcerated FFR+ 60% distal left main trifurcation disease with LVEF of 60% and SYNTAX Score is 34. After Heart Team discussion, CABG was recommended, but declined by the patient, due to his young age. Patient is now planned for imaging guided complex PCI of left main trifurcation disease. *This activity has been approved for AMA PRA Category 1 Credits™
