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™
