Case and Plan
78-year-old male with known CAD and severe AS underwent successful Evolut FX TAVR on February 8, 2024. A Cardiac Cath on Feb 8, 2024 revealed 2 V CAD: ostial RCA CTO and 80% angulated tortuous severely calcified LAD/Diagonal bifurcation lesions with SYNTAX Score of 18 and EF 60%. Patient continued to have exertional dyspnea with normal functioning TAVR valve. Now planned for complex PCI of calcified tortuous LAD/D1 bifurcation via Evolut-TAVR struts.
