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SAS Journal of Medicine | Volume-10 | Issue-10
“Ostial Lesion of the Left Main Coronary Artery: PCI vs. CABG?"—A Case Report and Literature Review
Mehdi Moujahid, Driss Britel, Laktib Nabil, Youssef Fihri, Soumia Faid, Hicham Faliouni, Najat Mouine, Ilyasse Asfalou, Zouhair Lakhal, Aatif Benyass
Published: Oct. 25, 2024 | 227 542
Pages: 1267-1273
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Abstract
For many years, coronary artery bypass grafting has been the primary method for revascularizing significant left main coronary artery disease. However, recent advancements in percutaneous coronary intervention with drug-eluting stents have proven to be a viable and effective alternative to coronary artery bypass grafting for treating this condition. In this report, we present a case of a patient with ischemic heart disease and severe left ventricular dysfunction. Coronary angiography revealed a lesion at the ostial left main coronary artery. Following successful primary angioplasty and the placement of a drug-eluting stent, the patient’s left ventricular ejection fraction significantly improved from 26% to 59%, indicating a significant enhancement in cardiac function post-procedure.