Unveiling the elephant in the room by an old companion

Image in interventional cardiovascular medicine: what is displayed on this image? ... And do not hesitate to comment on how you would treat this case!

A 73-year-old man was referred to our cathlab for worsening dyspnea in CAD.

• 11/2023: Late inferior STEMI, pPCI unsuccessful on RCA. At discharge inferior LV wall akynesia, LVEF 45%.
• 01/2024: Dyspnea. CAG: ostial RCA occlusion, critical stenosis on mid-LAD. The diagnostic procedure was completed with left ventriculogram.

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Authors

RESTIVO Attilio^1,2, PESCETELLI Irene², CANOVA Paolo Angelo², MORETTI Francesco², VASSILEVA Angelina Nikolova², FIOCCA Luigi²

1. Policlinico Universitario Agostino Gemelli, Metropolitan City of Rome Capital, ITALY
2. ASST Papa Giovanni XXIII Hospital, Province of Bergamo, ITALY