Successful Treatment of Severe Stenosis of Left Main Stem Artery

Left main coronary artery stenosis treatment by Dr. Sarat Chandra

A 60-year-old man came with severe chest pain and pulmonary edema. We put him on a ventilator and all required drugs and inotropes. His ECG showed severe ST depression in inferolateral leads with ST elevation in lead AVR. We predicted he would have severe stenosis of the left main segment (left main coronary artery stenosis) and we were proved correct at angiography with 90%stenosis of the ostium of the left main. His right coronary was normal. We immediately took a side hole left guide catheter. The lesion was dilated with a 2 mm balloon and a 3.5 mm stent was implanted with excellent result.