Takayasu’s arteritis: management of left main stem stenosis
I S Malik, O Harare, A AL-Nahhas, K Beatt, and J Mason


Moving Images
Please find below the moving images which correspond to Figures 1-3, 5 and 7. 
NOTE: The Videos are best viewed with Quicktime up to version. They cannot be viewed in Quicktime Version 6 or RealPlayer, users of these programs should use Windows Media Player. File sizes for each video are provided as an indication of the download time necessary.

Figure 1
A tight stenosis is seen at the ostium of the left main stem (LMS) coronary artery at diagnostic coronary angiography. The right coronary artery had no stenosis.
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File size: 9.75 MB

Figure 2
The LMS was reopened with percutaneous transcutaneous balloon angioplasty and a 4.0 mm diameter x9 mm length stent was inserted after acute occlusion following diagnostic angiography. A good angiographic result was achieved.
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File size: 9.5 MB

Figure 3
Magnetic resonance angiogram showing total occlusion of the left subclavian artery. In addition, there is a stenosis at the origin of the left common carotid artery.
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File size: 1.99 MB

Figure 5
Follow up angiogram of the LMS stent showing severe in-stent stenosis three months after the initial procedure
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File size: 9.5 MB

Figure 7
Result of directional atherectomy and balloon angioplasty to the in-stent stenosis of the LMS. There is now a good lumen within the LMS.
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File size:13.7 MB