Percutaneous coronary intervention due to chronic total occlusion in the left main coronary artery after bypass grafting: A feasible option in selected cases.

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Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology, ISSN: 2174-2030, Vol: 37, Issue: 10, Page: 865.e1-865.e4

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Flores-Umanzor, Eduardo; Martin-Yuste, Victoria; Caldentey, Guillem; Vazquez, Sara; Jimenez-Britez, Gustavo; San Antonio, Rodolfo; Cepas-Guillen, Pedro; Pujol-Lopez, Margarida; Hernández, Marco; Sabaté, Manel
Elsevier BV
article description
Chronic total occlusion (CTO) of the left main coronary artery (LMCA) is an infrequent finding. Revascularization is recommended in the presence of demonstrated viability or ischemia. Coronary artery bypass grafting (CABG) has long been considered the preferred option. Patients with previous CABG due to LMCA disease with occlusion of one graft and progression of the LMCA to CTO constitute a special population, as just one ischemic artery remains. For these patients, there is no other option for revascularization other than cardiac surgery (requiring resternotomy) or percutaneous coronary intervention (PCI) of the LMCA.