title: Left main disease management strategy: indications and revascularization methods in particular groups of subjects.
abstract: Surgical revascularization with coronary artery by-pass grafting is still recommended in vast majority of patients with unprotected left main disease. The aim of the paper was to analyze optimal treatment of left main disease in selected groups of patients, on the basis of current guidelines and information gained from literature data. We focused on data in relation to treatment of elderly patients, diabetics and those hemodynamically unstable. Additionally we discussed the issue of anti-platelet therapy and informed consent. As far as efficacy of treatment is concerned, not only method of revascularization but also general condition of the patient, the factors influencing peri-operative risk and optimal pharmacotherapy should be taken into account. Therefore establishment of the heart team is crucial when choosing the most suitable method of invasive treatment of left main disease.
authors: 1(st) Department of Cardiac Surgery, Medical University of Silesia, Katowice, Poland. l.krzych@wp.pl
authors: Łukasz J
authors: ŁJ
authors: Krzych
authors: Krystyna
authors: K
authors: Bochenek-Klimczyk
authors: Michał
authors: M
authors: Wasiak
authors: Krzysztof
authors: K
authors: Białek
authors: Maciej
authors: M
authors: Bolkowski
authors: Danuta
authors: D
authors: Gierek
authors: Andrzej
authors: A
authors: Bochenek
mesh_terms: D002317:Cardiovascular Agents / Q000627:therapeutic use; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000592:standards; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000601:surgery / Q000628:therapy*; D006801:Humans; D007258:Informed Consent; D018579:Patient Selection; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects / Q000592:standards; D017410:Practice Guidelines as Topic; D011859:Radiography; D018570:Risk Assessment; D012307:Risk Factors; D016896:Treatment Outcome
chemical_list: D002317:Cardiovascular Agents