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Case 1
59-Year-Old Male
STEMI
Plaque Erosion

A 59-year-old male with no medical history arrived at emergency department due to sudden onset of chest pain radiating to back and shoulder. The ECG showed ST-elevation in leads V2-3 and an emergent coronary angiography revealed a total occlusion of the mid LAD.

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Case 2
58-Year-Old Male
Unstable Angina
Rotablation

A 58-year-old male, who presented with unstable angina and underwent PCI of acutely occluded RCA three weeks earlier, now presents for a staged PCI of the LM and LAD. Coronary angiography before PCI showed a 50-60% stenosis of the distal LM and 80-90% bifurcation lesion in the LAD with 30-50% stenosis in the D2 branch.

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Case 3
66-Year-Old Male
NSTEMI
In-Stent Thrombus

A 66-year-old male, a smoker with a history of hyperlipidemia, prior MI and chronic systolic heart failure (NYHA Class III) presented for a staged PCI of the RCA. Prior PCI of the proximal LAD was performed 7 weeks earlier in the setting of NSTEMI with culprit lesion in the proximal LAD treated with a 4X38 mm drug-eluting stent.

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Case 4
71-Year-Old Female
Calcified RCA
Orbital

A 71-year-old female with hypertension, hyperlipidemia, and a history of smoking had angina pectoris and was referred to our hospital. Stress MPI showed mild inferoapical ischemia and coronary angiography revealed heavily calcified RCA lesion.

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Case 5
71-Year-Old Male
LM-LAD
Stent-Edge Dissection

A 71-year-old male, non-smoker with hypertension, hyperlipidemia and the history of chronic heart failure presented with angina pectoris. Coronary angiography revealed 3 vessel disease, and the patient and his family opted for PCI. The patient was referred to our hospital for a PCI of heavily calcified LM-LAD lesion.

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Case 6
75-Year-Old Female
LAD-D1
Stent Malapposition

A 75-year-old female with a history of MI hypertension, dyslipidemia, tobacco use and hypothyroidism presented with progressively worsening dyspnea on exertion and chest pain over the past 2-3 weeks. Coronary angiogram revealed a moderate to severely calcified lesion in the proximal and mid LDA and mild diffuse disease in the D1.

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Case 7
71-Year-Old Male
RCA
Co-Registration

A 71-year-old male, smoker with a history of hypertension, hyperlipidemia and asthma presented to our hospital with angina pectoris. Coronary CTA showed 2 vessel disease and angiography confirmed LAD and RCA lesions.

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Case 8
65-Year-Old Male
NSTEMI
Minicrush

A 65-year-old male, with a history of hyperlipidemia and prior PCI to RCA and LAD, presented with NSTEMI. Coronary angiography revealed three vessel disease and the patient underwent successful intervention of culprit RCA lesion with rotational atherectomy and DES implantation.

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Case 9
49-Year-Old Female
NSTEMI
Acute Thrombosis

A 49-year-old female with controlled hypertension and hyperlipidemia, uncontrolled DM, multiple prior PCI, and recent NSTEMI had a PCI with a 2.5x12mm DES to the proximal LCX.

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Case 10
49-Year-Old Male
NSTEMI
Plaque Rupture

A 49-year-old male, ex-smoker with a history of prior myocardial infarction, hyperlipidemia, controlled hypertension, and controlled diabetes mellitus presented with a non-ST-elevation myocardial infarction (NSTEMI).

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Case 11
55-Year-Old Male
Hazy Angio
Co-Registration

A 55-year old male with a history of controlled hypertension, hyperlipidemia, and positive stress test presented with atypical chest pain. Coronary angiography showed a hazy filling defect in the left anterior descending (LAD) coronary artery.

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Case 12
75-Year-Old Patient
Restenosis
Underexpansion

A 75-year-old patient with multiple previous PCIs including 2 second generation DES to the RCA, presented for elective PCI for the recurrent ISR. Coronary angiogram showed a 70-80% stenosis in both proximal and mid segment of the RCA; underexpansion of the stent implanted into the mid RCA was suspected based on angiography.

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Case 13
48-Year-Old Ex-Smoker
NSTEMI
Malapposition

A 48-year-old male ex-smoker with a history of hyperlipidemia presented with NSTEMI. Patient had a prior PCI to the mid LAD two years prior the event in an outside hospital. Coronary angiography before PCI showed a hazy lesion in the proximal LAD, which was further examined using OCT.

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Case 14
68-Year-Old Male
Calcified
Orbital

A 68-year-old man, past smoker, with diabetes mellitus, obesity, hyperlipidemia, hypertension and known 3-vessel disease status post multiple PCIs presented for staged PCI of LAD.

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Case 15
67-Year-Old Male
LAD-D1
Restenosis

A 67-year-old man with multiple prior MIs and PCIs presented with weeks-long worsening exertional dyspnea and occasional chest pain at rest relieved with nitroglycerine.

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Case 16
40-Year-Old Female
SCAD
NSTEMI

40-year-old female underwent PCI two months prior, one month post partum, due to chest pain and SOB. SCAD was detected and treated with two stents placed in the LM and mLAD.

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