The incidental detection of asymptomatic but significant ( 50%) left main coronary artery disease (LMCAD) has become more frequent with the increased use of coronary angiography for acute myocardial infarction. Most would agree that such LMCAD cannot be ignored. Yet, clarity is somewhat lacking as to the best approach to managing such patients. The long-running debate of the best revascularizat...

background coronary artery anomalies are not common, but could be very serious. objectives this study determines the frequency of coronary anomalies and normal variants by multi-detector-row computed tomography (mdct). patients and methods the results of cardiac mdct study in 2697 consecutive patients were analyzed retrospectively. acquisition was performed by a 64-detector row ct machine. imag...

Cardiac allograft vasculopathy is the leading cause of death after the first year of heart transplantation. The optimal treatment for unprotected left main coronary artery disease in orthotopic heart transplantation (OHT) patients is unknown. Two OHT patients with left main disease following heart transplantation underwent percutaneous coronary intervention (PCI). Technical success was achieved...

m U b w d i ( d S d i c s i p l s ( he left main coronary artery’s critical importance o coronary circulation has focused attention on his specific anatomical subgroup for decades. In he early 1970s, coronary artery bypass graft CABG) was found to improve late survival in atients with significant left main stenosis in comarison with medical therapy (1–3). Once CABG ecame the standard of care fo...

Aneurysms of the left main coronary artery are exceedingly rare clinical entities, encountered incidentally in approximately 0.1% of patients who undergo routine angiography. The most common cause of coronary artery aneurysms is atherosclerosis. Angiography is the gold standard for diagnosis and treatment. Depending on the severity of the coexisting coronary stenosis, patients with left main co...

conclusions routine predilation of the sb in provisional stenting of true bifurcation lesions seems to be ineffective and might be associated with some undesirable consequences. still, there are some complex ostial lesions of the sb which could benefit from predilation. patients and methods sixty patients with true bifurcation lesions according to the medina classification were included in the ...

cor triatriatum   sinistrum is a rare congenital cardiac malformation, accounting for about 0.1-0.4% of all congenital heart diseases and characterized by the presence of a fibromuscular membrane that subdivides the left atrium into two chambers in the classical form. while classic cor triatriatum in most patients can be observed during the neonatal period or early infancy, it is very rare in a...

SEE PAGE 318 T raditionally, left main coronary artery disease had been regarded as a dominion of the cardiac surgeons on the basis of results from the classic trial comparing medical treatment and bypass surgery (1,2). However, several brave pioneers in interventional cardiology have continued to evaluate the performance of “less invasive” coronary stenting for the left main coronary artery st...