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Figure 5 | Cardiovascular Ultrasound

Figure 5

From: Angiographically borderline left main coronary artery lesions: correlation of transthoracic doppler echocardiography and intravascular ultrasound: a pilot study

Figure 5

The imaging sequel of a 64-year old male patient with ambiguous angiography result. Coronary angiography revealed a tubular 30% stenosis of the LM, and non significant stenosis of the left and right coronary artery (panel A). However, the clinical presentation (severe angina, Canadian classification III-IV) did not corroborate with the angiographical findings, therefore the patient was sent to TTDE, which confirmed very high (272 cm/s) LM resting PDV (panel B). IVUS and FFR were performed, which both confirmed the severity of the LM stenosis (FFR = 0.72; IVUS plaque burden: 65% and LCSA: 4.6 mm2) (panel C and D).

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