Figure 1
First diagnostic coronary angiogram (December 2020). Panel A: In LAO caudal view, an intermediate left main coronary artery stenosis, and significant lesions of LAD, LCx and OM are depicted. LAD - left anterior descending artery, LCx - left circumflex artery, LAO - left anterior oblique, LMCA - left main coronary artery, OM - obtuse marginal artery, PDA - posterior descending artery, RCA - right coronary artery.
Figure 2
Staged percutaneous coronary interventions performed on LAD and LCx. Panel A: Angiographic results after stents implantation performed in December 2020 in proximal-mid segment and distal part of LAD (continuous arrows). The lesion in the mid-part of LAD (dotted arrow) was considered intermediate at that time (LAO cranial view). Panel B: The results of PCI completed in March 2021 with stent implantation in the OM (RAO caudal view). Panel C illustrate the progression of the lesion in the mid segment of LAD (arrow) and the angiographic finał result after stent implantation in March 2023 is outlined in panel D respectively (arrow). LAD - left anterior descending artery, LCx - left circumflex artery, LAO - left anterior oblique, LMCA - left main coronary artery, OM - obtuse marginal artery, PDA - posterior descending artery.
Figure 3
The global longitudinal strain of the left ventricle performed one year after the last PCI. The results are normal (-20.0%) in A4C view, and subtle disturbances in LAX view (- 16.9%), A2C view (-13.9%), but the mean value of -16.9% of GLS-LV are conclusive for altered longitudinal contraction of the myocardium. A2C - apical 2 chambers, A4C - apical 4 chambers, GLS-LS - global longitudinal strain of the left ventricle, LAX - long-axis, PCI - percutaneous coronary intervention.
Figure 4
Three dimensional reconstruction of the supraortic arteries. Severe stenosis of bilateral ICA are depicted. No significant stenosis involving bilateral CCA, ECA, LSA and RSA were identified. ICA - intemal carotid artery, CCA - common carotid artery, ECA - extemal carotid artery, LSA - left subclavian artery, RSA - right subclavian artery.
Figure 5
Three dimensional and sagittal multiplanar reconstructions confirmed the severity of left ICA (panel A) and right ICA respectively (panel B). ICA-internal carotid artery, CCA-common carotid artery, ECA-external carotid artery.