ROTABLATOR AND STENT PROCEDURES IN LEFT M AIN CORONARY-DISEASE

A 78 year old woman with unstable angina due to significant stenosis o f the left main coronary artery and occlusion of the right coronary ar tery was treated medically for 29 months because of a surgical contrai ndication. Resistance to drug therapy led to referral for complex angi oplasty of the left main, left anterior descending and left circumflex arteries, successively by rotablator and balloon angioplasty. An imme diate elastic recoil on the left main coronary artery led to implantat ion of a Palma-Schatz stent. There were no complications and the patie nt is asymptomatic twenty months later.