title: A hybrid alternative for high risk left main disease.
abstract: Percutaneous revascularization strategies for bifurcation disease of the left main are complex and carry significant risk. These risks are magnified in the setting of a left main which trifurcates. In a patient with complex ostial disease of two of the three limbs of a left main trifurcation, turned down for conventional bypass surgery, we report on a hybrid approach for complete revascularization, consisting of minimally invasive bypass grafting of the LAD combined with simultaneous drug eluting stent placement.
authors.affiliation: Division of Cardiology, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA. dzimrin@medicine.umaryland.edu
authors.forename: David
authors.initials: D
authors.lastname: Zimrin
authors.forename: Peter A
authors.initials: PA
authors.lastname: Reyes
authors.forename: Barry
authors.initials: B
authors.lastname: Reicher
authors.forename: Robert S
authors.initials: RS
authors.lastname: Poston
mesh_terms: D000368:Aged; D003131:Combined Modality Therapy; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis / Q000150:complications / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000150:complications; D016503:Drug Delivery Systems; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D019060:Minimally Invasive Surgical Procedures; D016491:Peripheral Vascular Diseases / Q000150:complications; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications; D015607:Stents