open access

Vol 65, No 3 (2007)
Other
Published online: 2007-03-26
Submitted: 2012-12-28
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Case report
Angioplasty of the unprotected left main coronary artery stenosis with standby cardiopulmonary support – a case report

Paweł Tyczyński, Adam Witkowski, Lidia Chojnowska, Paweł Litwiński, Maciej Dąbrowski, Witold Rużyłło
Kardiol Pol 2007;65(3):286-288.

open access

Vol 65, No 3 (2007)
Other
Published online: 2007-03-26
Submitted: 2012-12-28

Abstract

Stenosis of the unprotected left main coronary artery (LMCA) is a classical indication for coronary artery bypass graft surgery (CABG). Percutaneous coronary intervention (PCI) of LMCA may be an alternative to surgical treatment if atherosclerosis of distal segments is very advanced. The periprocedural risk is high, especially if comorbidities are present. However, long-term results remain unclear. The ongoing Syntax trial will clarify whether angioplasty of LMCA with drug-eluting stents can be equivalent to CABG. We present a case of a patient with occluded right coronary artery, severe stenoses of the LMCA, left anterior descending artery and left circumflex artery, and poor left ventricular ejection fraction in whom PCI for stenosis of unprotected LMCA with standby cardiopulmonary support was performed.

Abstract

Stenosis of the unprotected left main coronary artery (LMCA) is a classical indication for coronary artery bypass graft surgery (CABG). Percutaneous coronary intervention (PCI) of LMCA may be an alternative to surgical treatment if atherosclerosis of distal segments is very advanced. The periprocedural risk is high, especially if comorbidities are present. However, long-term results remain unclear. The ongoing Syntax trial will clarify whether angioplasty of LMCA with drug-eluting stents can be equivalent to CABG. We present a case of a patient with occluded right coronary artery, severe stenoses of the LMCA, left anterior descending artery and left circumflex artery, and poor left ventricular ejection fraction in whom PCI for stenosis of unprotected LMCA with standby cardiopulmonary support was performed.
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Keywords

left main coronary artery stenosis; percutaneous coronary intervention; cardiopulmonary support

About this article
Title

Case report
Angioplasty of the unprotected left main coronary artery stenosis with standby cardiopulmonary support – a case report

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 65, No 3 (2007)

Pages

286-288

Published online

2007-03-26

Bibliographic record

Kardiol Pol 2007;65(3):286-288.

Keywords

left main coronary artery stenosis
percutaneous coronary intervention
cardiopulmonary support

Authors

Paweł Tyczyński
Adam Witkowski
Lidia Chojnowska
Paweł Litwiński
Maciej Dąbrowski
Witold Rużyłło

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