Left Main Coronary Stenting in A 83-Year-Old Patient Without Final Kissing-Dilation

Currently, the left main lesions remain a very challenging and life-threatening condition, with still controversial treatment modalities. Although many technical methods of stenting and alternate methods for assessment of the coronary flow have been developed, the left main stenting has not yet become a routine procedure that ensures a hundred per cent positive outcome. It is argued that the kissing balloon technique should routinely be used in bifurcation lesions, with FFR, IVUS and OCT used in every single case. We present, for broader discussion, our own solution to the LM lesion. This is the case report of our patient with LM and LAD lesions and mild aortic stenosis who was successfully treated with PCI. An 83-year-old male was admitted to our hospital due to exertional dyspnea and worsening of angina pectoris.