Current diagnosis and management of left main coronary disease

被引：23
作者：
Chikwe, Joanna [1 ]
Kim, Michael [2 ]
Goldstone, Andrew B. [1 ]
Fallahi, Arzhang [2 ]
Athanasiou, Thanos [3 ]
机构：
[1] Mt Sinai Med Ctr, Dept Cardiothorac Surg, New York, NY 10029 USA
[2] Mt Sinai Med Ctr, Dept Cardiol, New York, NY 10029 USA
[3] Univ London Imperial Coll Sci Technol & Med, Dept Cardiothorac Surg, London, England
来源：
EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 2010年 / 38卷 / 04期
关键词：
Left main stem; Coronary artery; Cardiac surgery; Percutaneous coronary intervention; ARTERY-BYPASS SURGERY; DRUG-ELUTING STENTS; SURGICAL REVASCULARIZATION; STENOSIS; INTERVENTION; SURVIVAL; OUTCOMES; PROGRESSION; CARDIOPLEGIA; IMPLANTATION;
D O I：
10.1016/j.ejcts.2010.03.003
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Left main coronary artery (LMCA) disease remains an important risk factor for increased mortality and morbidity at all stages of diagnosis and treatment of coronary artery disease. Left main stem pathology is often silent, with unpredictable presentation: as such it poses diagnostic and management challenges. This article reviews the anatomy, epidemiology and diagnosis of left main stem disease, as well as advances in multidisciplinary concepts of diagnosis and management, and summarises the outcomes of recent prospective studies comparing percutaneous and surgical revascularisation in LMCA disease. (C) 2010 European Association for Cardio-Thoracic Surgery. Published by Elsevier B.V. All rights reserved.
引用
收藏
页码：420 / 428
页数：9
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