{"id":2809,"date":"2009-09-01T12:38:33","date_gmt":"2009-09-01T12:38:33","guid":{"rendered":"http:\/\/cardiophile.org\/?p=2809"},"modified":"2023-12-16T16:04:10","modified_gmt":"2023-12-16T10:34:10","slug":"distal-left-main-and-tight-lad-disease","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/distal-left-main-and-tight-lad-disease\/","title":{"rendered":"Distal left main and tight LAD disease"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/jNzzyPs6ymg?si=PARENPlCipqcHq2A\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe><\/p>\n<h2><span style=\"color: #008000;\">Distal left main and tight LAD disease<\/span><\/h2>\n<figure id=\"attachment_25567\" aria-describedby=\"caption-attachment-25567\" style=\"width: 500px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-25567 size-full\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2009\/09\/LMCA-distal-and-tight-LAD-disease-LAO-caudal.jpg\" alt=\"LMCA distal and tight LAD disease LAO caudal view\" width=\"500\" height=\"448\" \/><figcaption id=\"caption-attachment-25567\" class=\"wp-caption-text\">LMCA distal and tight LAD disease in LAO caudal view<\/figcaption><\/figure>\n<p>Coronary angiogram still shot showing distal left main coronary artery and tight left anterior descending coronary artery disease in a left anterior oblique caudal view. Conventionally this is an indication for coronary artery bypass grafting, though currently most operators would also consider percutaneous transluminal coronary angioplasty with stenting for this type of disease due to the availability of better PTCA hardware including drug eluting stents.<\/p>\n<figure id=\"attachment_25569\" aria-describedby=\"caption-attachment-25569\" style=\"width: 500px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-25569 size-full\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2009\/09\/LMCA-distal-and-tight-LAD-disease-LAO-caudal-annotated.jpg\" alt=\"LMCA distal and tight LAD disease LAO caudal view - annotated\" width=\"500\" height=\"442\" \/><figcaption id=\"caption-attachment-25569\" class=\"wp-caption-text\">LMCA distal and tight LAD disease LAO caudal view &#8211; annotated<\/figcaption><\/figure>\n<figure id=\"attachment_25570\" aria-describedby=\"caption-attachment-25570\" style=\"width: 500px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-25570 size-full\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2009\/09\/LMCA-distal-and-tight-LAD-disease-RAO-caudal.jpg\" alt=\"LMCA distal and tight LAD disease RAO caudal view\" width=\"500\" height=\"429\" \/><figcaption id=\"caption-attachment-25570\" class=\"wp-caption-text\">LMCA distal and tight LAD disease RAO caudal view<\/figcaption><\/figure>\n<p>Right anterior oblique caudal view also demonstrates the ostial disease of LAD nicely. Tapering of the distal left main is also evident in this view. The circumflex ostium seems to relatively spared in this view. LCX and hence the left coronary artery is a dominant vessel here as it gives rise to the posterior left ventricular and posterior descending coronary artery. PLV and LPDA are not marked in the image, but are the terminal branches of the LCX seen at the bottom of the image.<\/p>\n<figure id=\"attachment_25571\" aria-describedby=\"caption-attachment-25571\" style=\"width: 500px\" class=\"wp-caption alignnone\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-25571 size-full\" src=\"https:\/\/johnsonfrancis.org\/professional\/wp-content\/uploads\/2009\/09\/Non-dominant-RCA.jpg\" alt=\"Non dominant right coronary artery\" width=\"500\" height=\"407\" \/><figcaption id=\"caption-attachment-25571\" class=\"wp-caption-text\">Non dominant right coronary artery<\/figcaption><\/figure>\n<p>Non dominant right coronary artery is seen to be an insignificant vessel. This emphasises the urgent need to revascularise the left coronary artery territory at the earliest.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Distal left main and tight LAD disease noted on coronary angiogram.<\/p>\n","protected":false},"author":1,"featured_media":25569,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[18],"tags":[],"class_list":["post-2809","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-angiography-and-interventions"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Distal left main and tight LAD disease<\/title>\n<meta name=\"description\" content=\"Distal left main and tight LAD disease noted on coronary angiogram.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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