Complex Coronary Intervention in Elderly Patients with Post Open Heart Surgery Status with Calcified Coronaries

Elderly patients pose a big challenge for coronary revascularization due to complex lesions, multiple comorbidities. We report a case PCI in a78-year-old female with prior open-heart surgery and coronary angiogram showing severe calcific diseased vessels using new plaque modification technique, Intravascular lithotripsy (IVL). The patient is on routine follow-up, and she is stable and asymptomatic at nine months follow-up.