Letter to the Editor

Percutaneous Intervention of Left Main Coronary Artery Disease: A Fresh Look at a Class III Recommendation

Authors: Matthew J. Diamond, DO, Jaspal Gujral, MBBS, FACP, Deepak Kapoor, MD


Percutaneous intervention of left main coronary artery (LMCA) disease is a class III recommendation per the latest guidelines published by the American Heart Association/American College of Cardiology.1 As techniques, technologies, research, and pharmaceuticals advance, intervention on LMCA disease has become a more feasible option. We present two cases, both with different indications, but sharing a common conclusion.

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1. Smith SC Jr, Dove JT, Jacobs AK, et al. ACC/AHA guidelines for percutaneous coronary intervention (revision of the 1993 PTCA guidelines): executive summary. Circulation 2001;103:3019.
2. Marso SP, Steg G, Plokker T, et al. Catheter-based reperfusion of Unprotected Left Main Stenosis During Acute Myocardial Infarction (the ULTIMA experience). Am J Cardiol 1999;83:1513–1517.
3 Nayak AK, Davis R, Reddy HK, et al. Left main coronary artery rotational atherectomy and stenting.South Med J 2000;93:415–423.
4. Ellis SG, Tamani H, Nobuyoshi M, et al. Contemporary percutaneous treatment of unprotected left main coronary stenosis. Circulation 1997;96:3867–3872