A 60-year-old male presen...

A 60-year-old male presented with severe chest pain and breathlessness. He had a past history of CABG 10 years ago, and an angiogram showed a native TVD with the SVG to RCA blocked. An attempt to open the SVG to RCA was made but was unsuccessful due to an ostioproximal calcified lesion with tortuosity. A mid-95% lesion was identified and IVL to ostio proximal RCA was performed and stented to the mid RCA and ostio proximal RCA.  Post-procedure the patient experienced relief from chest pain and was discharged in a stable condition.