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Extreme negative remodeling of septal left anterior descending branch masquerading as a bifurcation lesion

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Abstract

We report a case of severe negative remodelling at the ostium of septal LAD artery. We deferred stenting to avoid the risk of rupture of the vessel and stent fracture

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Abbreviations

IVUS:

Intravascular ultrasound

EEM:

External elastic membrane

IWMI:

Inferior wall myocardial infarction

LAD:

Left anterior descending artery

LCX:

Left circumflex artery

RCA:

Right coronary artery

CAG:

Coronary angiography

FFR:

Fractional flow reserve

References

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Acknowledgements

Our sincere thanks to Dr. Akiko Maehara (CRF) for her kind contribution and valuable inputs in IVUS images.

Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Cardiology, Jawaharlal Institute of Medical Education and Research (JIPMER), Puducherry, 605006, India

    Ajith Ananthakrishna Pillai & Sasinthar Rangasamy

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  1. Ajith Ananthakrishna Pillai
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  2. Sasinthar Rangasamy
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Correspondence to Sasinthar Rangasamy.

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Pillai, A.A., Rangasamy, S. Extreme negative remodeling of septal left anterior descending branch masquerading as a bifurcation lesion. Int J Cardiovasc Imaging 35, 597–599 (2019). https://doi.org/10.1007/s10554-018-1484-0

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  • DOI: https://doi.org/10.1007/s10554-018-1484-0

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