title: How should I treat a coronary "traffic jam"? A triple kissing balloon in distal left main trifurcation.
abstract: BACKGROUND
  A 60-year-old man with relapsing unstable angina a year aftger an anterior acute myocardial infarction treated with PCI to proximal left anterior descending (LAD) and proximal intermediate branch (IB), resulting in a severely impaired LV function.
  
  
  METHODS
  Physical examination, laboratorytest, transthoracic echocardiogram, rest ECG, coronary angiography.
  
  
  METHODS
  Severe in-stent restenosis to IB, with a bulky plaque involving distal left main, obtuse marginal and proximal circumflex.
  
  
  RESULTS
  Percutaneous coronary intervention/coronary artery bypass grafting.
authors.affiliation: Department of Interventional Cardiology, S. Ambrogio Clinical Institute, Milan, Italy. luctes@gmail.com
authors.forename: Luca
authors.initials: L
authors.lastname: Testa
authors.forename: Francesco
authors.initials: F
authors.lastname: Bedogni
mesh_terms: D000789:Angina, Unstable / Q000000981:diagnostic imaging / Q000628:therapy*; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects / Q000379:methods*; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012720:Severity of Illness Index