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Percutaneous transluminal coronary angioplasty for multiple lesions in a coronary artery--report of two cases.

Percutaneous transluminal coronary angioplasty (PTCA) was performed successfully in two patients with angina pectoris who had two separate significant stenotic lesions in a coronary artery. One patient had stenoses in segments 6 and 7 of the left anterior descending coronary artery. After PTCA, angina disappeared, an exercise ECG became negative and a 201Tl myocardial scintigram returned to normal. In the other patient, two separate stenotic lesions were found in segment 3 of the RCA. Angina and an exercise ECG improved after PTCA. These results suggest the validity of PTCA for multiple stenotic lesions in the same coronary artery.