Main left coronary artery disease. Aspects of its diagnosis and treatment.
DOI:
https://doi.org/10.20344/amp.3372Abstract
The Left Main Disease (LMD) assumes a special particularity within the coronary pathology, because of its seriousness and of its urgent need of surgical treatment. The lesion is associated mainly with clinical situations of unstable angina, and who's diagnose by non-invasive methods is extremely difficult; among these methods the echocardiography and specially the stress test still remain of most value in this diagnosis. Coronary arteriography remains the standard exam and is indispensable for a positive confirmation of diagnosis. However, the risk involved here is significantly higher than in other coronary pathologies especially if the lesion of LMD is localized in the proximal region or is ostium level. Therefore, in this review, the need of special care is emphasized before, during and after catheterization, in patients with sunpect of LMD or in those in which the diagnosis was placed during the angiographic examination. Finally, it is very important to recognize the most dangerous situations in order to rightly identify those who need urgent surgical treatment.Downloads
Downloads
How to Cite
Issue
Section
License
All the articles published in the AMP are open access and comply with the requirements of funding agencies or academic institutions. The AMP is governed by the terms of the Creative Commons ‘Attribution – Non-Commercial Use - (CC-BY-NC)’ license, regarding the use by third parties.
It is the author’s responsibility to obtain approval for the reproduction of figures, tables, etc. from other publications.
Upon acceptance of an article for publication, the authors will be asked to complete the ICMJE “Copyright Liability and Copyright Sharing Statement “(http://www.actamedicaportuguesa.com/info/AMP-NormasPublicacao.pdf) and the “Declaration of Potential Conflicts of Interest” (http:// www.icmje.org/conflicts-of-interest). An e-mail will be sent to the corresponding author to acknowledge receipt of the manuscript.
After publication, the authors are authorised to make their articles available in repositories of their institutions of origin, as long as they always mention where they were published and according to the Creative Commons license.
