Case & Plan:
Middle-aged hypertensive and diabetic male presented with angina on exertion Class III. ECG showed STT changes and LVEF was 55%. coronary angiogram revealed LAD CTO from prom segment and LCx had OM bifurcation disease. RCA did not show significant stenosis. As the patient refused CABG, angioplasty of LAD CTO and LCX/OM was done on staged basis because the LAD angioplasty was complicated with thrombus formation.