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| http://dx.doi.org/10.1111/anec.12150 | DOI Listing |
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Unprotected distal left main percutaneous intervention.
Prog Cardiovasc Dis
December 2024
Division of Cardiovascular Medicine, Department of Medicine, University of Virginia, Charlottesville, VA 22908, United States of America. Electronic address:
Revascularization has been demonstrated to be clearly superior to medical therapy for significant unprotected left main coronary artery (LMCA) disease. Coronary artery bypass graft surgery (CABG) has a class 1 indication in both the American and European society guidelines for the treatment of LMCA disease. However, for the population of patients who are declined CABG after a heart team evaluation, percutaneous coronary interventional (PCI) may be an efficacious alternative.
View Article and Find Full Text PDFAnomalous Left Coronary Artery Originating From the Right Coronary Sinus With a Septal Curse in a Patient With Myocardial Infarction Due to Right Coronary Lesion: Innocent Until Proven Otherwise.
Cureus
November 2024
Cardiology Department, Medical School, Agostinho Neto University, Luanda, AGO.
Coronary artery anomalies (CAAs) are rare and challenging, with increased diagnoses due to advanced cardiovascular imaging, even in low-income countries where diagnostic and therapeutic approaches can be difficult. This case report details a 65-year-old Black male patient with a history of hypertension and smoking who presented with a myocardial infarction. Despite no significant abnormalities apart from the infarction, invasive coronary angiography revealed a dominant right coronary artery (RCA) and an anomalous left main coronary artery (LMCA) originating from the right coronary sinus, bifurcating into the left anterior descending artery and circumflex artery.
View Article and Find Full Text PDFValidation of EuroSCORE II, ACEF Score, CHADS-VASc, and CHADS-VA in Patients Undergoing Left Main Coronary Artery Angioplasty: Analysis from All-Comers BIA-LM Registry.
J Clin Med
November 2024
Department of Invasive Cardiology, Medical University of Białystok, 15-089 Białystok, Poland.
: Simple surgical and clinical risk scores are useful in mortality prediction. : The study's aim was to validate three scores in real-world registry of percutaneous coronary intervention (PCI) for the left main coronary artery (LMCA). : All data were obtained from the BIA-LM Registry.
View Article and Find Full Text PDFPercutaneous Treatment of Left Main Coronary Artery Ostial Stenosis After Bentall Operation.
Catheter Cardiovasc Interv
November 2024
Eskişehir City Hospital, Cardiology Clinic, Kardiyoloji Kliniği, Eskişehir Şehir Hastanesi, Eskişehir, Turkey.
Iatrogenic coronary ostial stenosis (ICOS) is a rare but life-threatening complication of aortic root surgery. It can occur with the incidence of 0.3%-5% and affect more commonly the left main coronary artery (LMCA) compared to the right coronary artery (RCA).
View Article and Find Full Text PDFContemporary State-of-the-Art PCI of Left Main Coronary Artery Disease.
Circ Cardiovasc Interv
November 2024
Division of Interventional Cardiology, Department of Cardiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea (S.-B.W., J.-M.A., D.-Y.K., S.-J.P., D.-W.P.).
The left main coronary artery (LMCA) supplies over 70% of the myocardium, and significant LMCA disease is associated with high morbidity and mortality. With remarkable advances in percutaneous coronary intervention (PCI), including stent technology, antithrombotic agents, and evolving procedural techniques, PCI has become an important treatment option in clinical practice guidelines for the revascularization of LMCA disease. In contemporary clinical practice, a heart-team approach to shared decision-making, considering clinical/anatomic factors along with patient preferences, is emphasized for patients with significant LMCA disease requiring myocardial revascularization.
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