Live Relay – Sun Pharma – PCI of Calcified LM Trifurcation with Impella Assist

Case and Plan:
84-year-old male with baseline NYHA Class III dyspnea, developed progressive dyspnea on minimal exertion requiring hospital admission with NSTEMI (TnI 0.8U). A Cardiac Cath on February 24, 2022 revealed extensive 3V + LM trifurcation CAD with CTO of RCA & mid LAD, SYNTAX Score 48 and EF = 20%. Patient had multiple areas of viability on PET, but CABG declined due to low EF and advanced age. Now planned for Impella supported PCI of LM trifurcation CAD.

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