Reviewing Successful Dual LAD Disease Intervention: A Radiological Diagnostic Approach and Literature Overview

Abstract

We present the case of a 72-year-old female with acute chest pain and signs of myocardial ischemia. Cardiac catheterization revealed a bifid left anterior descending (LAD) artery, which was successfully treated with percutaneous intervention (PCI). The procedure involved crossing the lesion using Sion Black wire, followed by balloon dilatation and stent placement. Intravascular ultrasound confirmed adequate stent apposition. Post-dilation of the proximal stent edge was performed, resulting in excellent angiographic outcomes. The patient was discharged on dual antiplatelet therapy and guideline-directed medical therapy. This case highlights the successful management of a complex bifid LAD lesion using PCI.