Non Surgical Management of Unprotected Isolated Ostial Left Main Coroner Artery Disease

Prevalence of left main coroner artery (LMCA) stenosis inpatients undergoing coronary angiography was2.5 to10 %,almost all patients suffer from concomitantatherosclerotic disease of other coronary branches. Incontrast, an isolated atherosclerotic lesion of LMCA is veryrare, with incidences 0.07 to 0.15 %.Coronerarterybypassgraft surgery (CABG)has been recommended as the standardtreatment in LMCA disease,however, percutaneous coronaryinterventions(PCI) on the LMCA remained in scope, as some patients with high risk or contraindications of CABG and very limited life expectancy, still had no other option than PCI. A 58 th years old man with risk factor; smoker, dyslipidemia and hypertension, complain of chest discomfort,he was referred with diagnosis of APS CCS III andMSCT coroner revealed mild plaque burden with critical subtotal occlusion in LMCA, calcified plaque in LAD and other vessels were normal. He refuse CABG and went for PCI, angiography revealed significant isolated unprotected LMCA disease.Successful PCI using anchor wire technique and implantation of BMS in the lesion was done. Patient discharged on day 6 of hospitalization withno complication.