Video Supplement to “Successful Rotational Atherectomy of an Undilatable Ostial Saphenous Vein Graft Lesion,” by Nikolakopoulos, et al. (August 2020 Clinical Images).
A 66-year-old man with prior chest radiotherapy, coronary bypass graft surgery, percutaneous coronary intervention, and aortic valve replacement presented with chest pain. Emergent cardiac catheterization showed chronic total occlusion of the left main and proximal right coronary artery and an atretic left internal mammary graft to the mid left anterior descending artery. His diagnosis and treatment are presented in the following imaging series.