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A 47 y-o man with established CAD. His PMH includes CABG (LIMA to LAD and SVG to PDA) about 8 years ago, and DES to OM 4 years ago. He presented with CCS-III angina. He is on good medical therapy. His angiogram showed: Patent LIMA, Occluded native LAD, severely disease RCA. SVG to RCA has a new lesion in mid-segement and CX has proximal disease.

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