A hybrid alternative for high risk left main disease.
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.
Zimrin
David
D
Division of Cardiology, University of Maryland School of Medicine, Baltimore, Maryland 21201, USA. dzimrin@medicine.umaryland.edu
Reyes
Peter A
PA
Reicher
Barry
B
Poston
Robert S
RS
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