Case: 78-year-old female with NIDDM, dextrocardia & situs inversus presented on 9/7/12 with NSTEMI; and cath revealed 2V CAD and normal LV function (SYNTAX score 17). Patient underwent PCI using rotational atherectomy and two Eeverolimus-eluting stents of culprit RCA. Patient continues to do well except for CCS Class II angina. Now scheduled for PCI of calcified LAD/D1 bifurcation lesion in this anatomically challenging patient with dextrocardia.

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