CAG 11/3/61 ผล Left main: normal,
LAD: mid stenosis 50%, Bifurcation lesion 0.1.0
LCX: distal stenosis 70%, suitable for PCI, Bifurcation lesion Medina 1.1.0 intermediatemild disease
RCA: dominant, proximal occludedhuge thrombus noted. Right posterior descending, graftable. Right postero-lateral,graftable
left ventriculogram not performed
Diagnosis 3 VV disease
Plan : Medical treatment
Comment : Case recent STEMI inferior wall with history of post MI angina. He is now pain free with fair collateral feom LCA system fills up to mid RCA. In view of pain free and development of collateral to RCA, we decided to leave RCA occlusion as it is due to the concerning of no reflow phenomenon that may haave occurred. Per lesion at LAD and LCX. Could be medical treatment.