RT Book, Section
A1 Rene, A. Garvey
A1 Wilensky, Robert L.
A2 Baliga, R. R.
A2 Lilly, Scott M.
A2 Abraham, William T.
SR Print(0)
ID 1160206810
T1 Left Main Coronary Artery Disease: Approach to Percutaneous Intervention
T2 Color Atlas and Synopsis of Interventional Cardiology
YR 2018
FD 2018
PB McGraw-Hill Education
PP New York, NY
SN 9780071749350
LK accesscardiology.mhmedical.com/content.aspx?aid=1160206810
RD 2024/04/20
AB In  1912,  James  Herrick  reported  the  first  description  of  left  main  coronary  artery  (LMCA)  occlusion  when  he  described  the  case  of  a  55-year-old  man  who  died  of  cardiogenic  shock  and  was  subsequently  found  on  autopsy  to  have  extensive  necrosis  of  the  left  ventricle  associated  with  thrombotic  occlusion  of  the  LMCA  superimposed  on  an  area  of  atherosclerotic  narrowing.1  It  is  now  estimated  that  4%  to  6%  of  patients  undergoing  coronary  angiography  have  significant  LMCA  disease  defined  as  ≥50%  stenosis,  with  more  than  two  thirds  noted  to  have  concurrent  multivessel  disease.2,3  Insofar  that  interventional  cardiologists  are  usually  the  first  in  diagnosing  and  often  determining  treatment  strategies  for  LMCA  stenoses,  it  is  important  to  have  a  thorough  understanding  of  the  disease  process  in  order  to  make  informed  decisions  for  this  complex  disease  process.