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Caption: Figure 1: Mid-oesophageal short axis view through the aortic valve revealing dissection and thrombosis of the left main coronary artery with absence of blood flow on colour Doppler.
Factors predicting mortality in patients after myocardial infarction caused by left main coronary artery occlusion: significance of ST segment elevation in both aVR and aVL leads.
MSCT has also been shown to be safe in excluding left main coronary artery in-stent stenosis and has been suggested as an acceptable first-line alternative to CCA in selected patients (72).
A meta-analysis of 3,773 patients treated with percutaneous coronary intervention or surgery for unprotected left main coronary artery stenosis.
Anomalous origin of either the right or left main coronary artery from the aorta with subsequent coursing between aorta and pulmonary trunk: analysis of 32 necropsy cases.
Aortic short-axis view on TEE revealed, both right coronary artery (RCA) and left main coronary artery (LMCA) were originated from the left sinus Valsalva and RCA was extending through to anterior after passing between aorta and pulmonary artery.
Revascularization therapy is clearly needed for patients with triple-vessel disease or left main coronary artery disease.
In the specific case shown, the single MGuard stent was implanted on the left main coronary artery to exclude an aneurysm.
Left main coronary artery occlusion was caused by a plaque shift from native valve during the implantation of an Edwards SAPIEN valve in one of our female patients (5).
Coronary angiography of the right coronary artery was performed with a Judkins right 4 catheter, while the left main coronary artery was engaged with a Judkins left 4 catheter.