Chronic Total Occlusion of the Left Main Coronary Artery in
A 63-year-old female with high total cardiovascular risk (third degree hypertension according to the ESC, hyperlipidemia, impaired fasting glucose, body mass index of 31 kg/m2), after endoscopic resection of a bladder tumor in 2000, with a complex history of both surgical and percutaneous revascularization interventions: CABG (coronary artery bypass graft) with left internal mammary artery to the left anterior descending artery (LIMA-LAD) and saphenous vein bypass to the marginal branch (SVG-Mg) in 2000, coronary angioplasty of the LAD because of occlusion of the arterial graft (in 2000 and 2001), angioplasty of the LMCA in 2003 (PCI LMCA/LAD/LCx), saphenous vein bypass to the LAD (reCABG SVG-LAD in 2008) and again vein bypass to the same branch (rereCABG SVG-LAD, short vein insert) in June 2012....