HEMODYNAMIC TREATMENT OF SEVERE LESION OF THE LEFT MAIN CORONARY ARTERY

A CASE REPORT

Abstract

Compared to other cardiac artery stenosis, the left main coronary artery stenosis is associated with a higher risk of mortality and myocardial injury due to the greater amount of subtended myocardium. For treatment, coronary artery bypass grafting and percutaneous coronary intervention are indicated. Therefore, this work has as main objective to present the benefits of the treatment of a lesion of the main coronary artery by hemodynamic approach and to report a case of a severe lesion treatment of the left main coronary artery. This is a case report and an integrative literature review. The search was carried out in the PubMed and Scielo libraries. The works that were included discuss the theme proposed for the study in Portuguese and English, with full texts and available in free versions. In conclusion, for patients with stenosis of the main coronary artery with low and medium complexity of coexisting coronary artery disease, PCI treatment offers a favorable long-term result and, therefore, it constitutes an alternative therapy to MRC. While complex disease is best treated with MRC. For evaluation of the angiographic SYNTAX score, it can be used to indicate the best treatment tool.