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. 2022 May 2;9:823091. doi: 10.3389/fcvm.2022.823091

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Copyright © 2022 Melotti, Belmonte, Gigante, Mallia, Mushtaq, Conte, Neglia, Pontone, Collet, Sonck, Grancini, Bartorelli and Andreini.

This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

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A 74-years-old patient, symptomatic for chest pain, performed a coronary CT, which showed a mild stenosis of left main and a diffuse severe stenosis of mid-distal left anterior descending (LAD) coronary artery (A). Circumflex artery had a significant ostial stenosis, with sub-occlusion of mid-distal portion (B) and right artery was occluded at the mid portion (C). SPECT showed perfusion defect at the apical septum and at infero-lateral mid-basal wall (D). Coronary angiography confirmed the presence of sub-occlusion (yellow arrow) of the middle section of the LAD coronary artery (E), treated with coronary angioplasty and placement of a medicated stent (yellow arrow), with a good final angiographic result (F).