Straightforward LAD case

An 84-year-old man presents with atypical chest pain and abnormal perfusion scan indicating reversible anterior wall defect. Angiography demonstrated diffuse, calcified lesions in his proximal left anterior descending (LAD) artery of approximately 90%. He was treated with rotational atherectomy, demonstraighting a rather straightforward case in which a heavily calcified vessel can be treated with sequential rotational atherectomy with excellent results.