Impression:
Moderate severe ischemia in the anterolateral wall (small lines) (4/25 segments) (OM1 or D1 territory).
Coronary angiography:
LAD - 30% proximal, and 80% midle and distal stenosis
OM- Totally occluded proximally with left to left collateral filling
LCX - Mild diffuse disease
PDA - 90% stenosis
Mild anterior-apical hypokinesis
Comments :
Septum and the lateral wall are not ischemic. No perfusion abnormalities are detected in the inferior wall. Therefore, CAD in one of the small arteries is most likely.
Insufficient collaterals to the anterolateral wall leads to ischemia (and symptoms) before the inferior wall or the anterior wall become ischemic. Therefore, only the most functionally significant stenosis was detected.
