Alfonso Jurado-Román, Andrea Moreno-Arciniegas, Ignacio Sánchez-Pérez, María T López-Lluva, Jesús Piqueras-Flores and Fernando Lozano-Ruíz-Poveda
An 84 years-old male was admitted for stable angina and an early positive treadmill test. He presented an angiographic severe ostial stenosis of the left main (LM) with no other significant lesions. Intravascular ultrasound image (IVUS) showed a fibro-calcified plaque with a minimal luminal area (MLA) of 3.9 mm2 (Figure1A-asterisk) and a reference diameter of 5.8 mm. A percutaneous coronary intervention (PCI) was scheduled the following day.