title: Percutaneous (nonsurgical) supported angioplasty in unprotected left main disease and severe left ventricular dysfunction.
abstract: A 69-year-old patient with the equivalent of severe, unprotected left main coronary artery disease associated with marked left ventricular dysfunction with ventricular aneurysm who had Class IV angina, underwent supported angioplasty utilizing a total percutaneous approach. The patient tolerated occlusion of his main left coronary artery for a total of 7 minutes without difficulty, during dilatation of left anterior descending and two circumflex lesions. He was discharged the following day, symptom free.
authors.affiliation: Santa Barbara Heart and Lung Institute, Goleta Valley Community Hospital, California.
authors.forename: J H
authors.initials: JH
authors.lastname: Vogel
authors.forename: C E
authors.initials: CE
authors.lastname: Ruiz
authors.forename: E J
authors.initials: EJ
authors.lastname: Jahnke
authors.forename: R B
authors.initials: RB
authors.lastname: McFadden
authors.forename: R
authors.initials: R
authors.lastname: Setty
authors.forename: C
authors.initials: C
authors.lastname: West
authors.forename: S B
authors.initials: SB
authors.lastname: Fink
authors.forename: R
authors.initials: R
authors.lastname: Avolio
authors.forename: J
authors.initials: J
authors.lastname: Stafford
authors.forename: J L
authors.initials: JL
authors.lastname: Klein
mesh_terms: D000368:Aged; D000800:Angioplasty, Balloon / Q000379:methods*; D002315:Cardiopulmonary Bypass; D003327:Coronary Disease / Q000150:complications / Q000503:physiopathology / Q000628:therapy*; D006322:Heart Aneurysm / Q000150:complications / Q000503:physiopathology; D006331:Heart Diseases / Q000150:complications* / Q000503:physiopathology; D006352:Heart Ventricles / Q000503:physiopathology; D006801:Humans; D008297:Male