Patient is a 91 year old female admitted to the hospital with shortness of breath and chest pain. She denied any significant past cardiac history. A cardiac catheterization performed showed a severe blockage in the left main coronary artery and another blockage in the left circumflex. Blockages in the left main coronary artery are felt to be best treated with open heart surgery and she was referred to a surgeon for an evaluation. She was evaluated by cardiac surgery and because of her age and other non cardiac medical history she was felt to be a poor candidate for cardiac bypass surgery. She continued to have chest pain with minimal activity and after discussion with her family, medical team, and Dr. Schafranek a decision was made to proceed with a high risk procedure to place a stent in the left main coronary artery.

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