Current diagnosis and management of left main coronary disease

Joanna Chikwe; Michael Kim; Andrew B. Goldstone; Arzhang Fallahi; Thanos Athanasiou

doi:10.1016/j.ejcts.2010.03.003

Current diagnosis and management of left main coronary disease

Joanna Chikwe, Michael Kim, Andrew B. Goldstone, Arzhang Fallahi, Thanos Athanasiou

Icahn School of Medicine at Mount Sinai

Research output: Contribution to journal › Review article › peer-review

22 Scopus citations

Abstract

Left main coronary artery (LMCA) disease remains an important risk factor for increased mortality and morbidity at all stages of diagnosis and treatment of coronary artery disease. Left main stem pathology is often silent, with unpredictable presentation: as such it poses diagnostic and management challenges. This article reviews the anatomy, epidemiology and diagnosis of left main stem disease, as well as advances in multidisciplinary concepts of diagnosis and management, and summarises the outcomes of recent prospective studies comparing percutaneous and surgical revascularisation in LMCA disease.

Original language	English
Pages (from-to)	420-428
Number of pages	9
Journal	European Journal of Cardio-thoracic Surgery
Volume	38
Issue number	4
DOIs	https://doi.org/10.1016/j.ejcts.2010.03.003
State	Published - Oct 2010

Keywords

Cardiac surgery
Coronary artery
Left main stem
Percutaneous coronary intervention

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10.1016/j.ejcts.2010.03.003

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title = "Current diagnosis and management of left main coronary disease",

abstract = "Left main coronary artery (LMCA) disease remains an important risk factor for increased mortality and morbidity at all stages of diagnosis and treatment of coronary artery disease. Left main stem pathology is often silent, with unpredictable presentation: as such it poses diagnostic and management challenges. This article reviews the anatomy, epidemiology and diagnosis of left main stem disease, as well as advances in multidisciplinary concepts of diagnosis and management, and summarises the outcomes of recent prospective studies comparing percutaneous and surgical revascularisation in LMCA disease.",

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author = "Joanna Chikwe and Michael Kim and Goldstone, {Andrew B.} and Arzhang Fallahi and Thanos Athanasiou",

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AU - Kim, Michael

AU - Goldstone, Andrew B.

AU - Fallahi, Arzhang

AU - Athanasiou, Thanos

PY - 2010/10

Y1 - 2010/10

N2 - Left main coronary artery (LMCA) disease remains an important risk factor for increased mortality and morbidity at all stages of diagnosis and treatment of coronary artery disease. Left main stem pathology is often silent, with unpredictable presentation: as such it poses diagnostic and management challenges. This article reviews the anatomy, epidemiology and diagnosis of left main stem disease, as well as advances in multidisciplinary concepts of diagnosis and management, and summarises the outcomes of recent prospective studies comparing percutaneous and surgical revascularisation in LMCA disease.

AB - Left main coronary artery (LMCA) disease remains an important risk factor for increased mortality and morbidity at all stages of diagnosis and treatment of coronary artery disease. Left main stem pathology is often silent, with unpredictable presentation: as such it poses diagnostic and management challenges. This article reviews the anatomy, epidemiology and diagnosis of left main stem disease, as well as advances in multidisciplinary concepts of diagnosis and management, and summarises the outcomes of recent prospective studies comparing percutaneous and surgical revascularisation in LMCA disease.

KW - Cardiac surgery

KW - Coronary artery

KW - Left main stem

KW - Percutaneous coronary intervention

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JF - European Journal of Cardio-thoracic Surgery

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ER -

Current diagnosis and management of left main coronary disease

Abstract

Keywords

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