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Figure Legends.
Figure 1. 12 lead ECG showing ST elevations in anterior leads.
Figure 2. (A) Shows distal LM 80-90% calcified lesion. Proximal LAD 80-90% calcified. LCX is 70-80% calcified stenosis. (B) Before dye injection, shows severe calcification of LM, LCX and proximal LAD (tram-track appearance).
Figure 3. (A) Catheter engaged in Right Coronary sinus. Proximal RCA 70% stenosis and mid RCA 99% stenosis with TIMI II flow. (B) LCA engaged with BL 3.0 guide and LAD wired with runthrough and 1.5 OTW. (C) Runthrough swapped with rota floppy and LMS-LAD rotablated with 1.75 burr. (D) Stent placement LMS to LAD with 3.5 x 34 DES.
Figure 4. Post PCI dye injection showing optimal final result and good flow after stenting of LMS to LAD.