Percutaneous Intervention involving the Distal Left Main Artery and its Bifurcation

An 84 year old male presented with chest pain and heart failure symptoms. Coronary angiography revealed high grade stenosis of left main artery and the ostial left anterior descending and circumflex arteries. He was a poor surgical candidate and hence underwent complex stenting of the stenosis with a specialized bifurcation stent (Tryton) with hemodynamic support (Impella).

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Percutaneous Intervention involving the Distal Left Main Artery and its Bifurcation

by: Arun K. Nagabandi, M.D.

Coronary angiogram shows a high grade stenosis in the distal left main coronary artery which extends into the ostial left anterior descending (LAD) and circumflex (Cx) arteries. Diffuse non obstructive atherosclerotic disease is seen in the LAD and Cx arteries. A temporary left ventricular support device is present.

Percutaneous Intervention involving the Distal Left Main Artery and its Bifurcation

by: Arun K. Nagabandi, M.D.

Placement of a Tryton side branch stent in the left main and its bifurcation results in no residual hemodynamically significant stenosis. Diffuse non obstructive atherosclerotic disease in the Cx artery and the temporary left ventricular support device are also seen.