Dk. Parashara et al., INTRAVASCULAR ULTRASOUND FOR ANGIOGRAPHICALLY INDETERMINANT LEFT MAINCORONARY-ARTERY DISEASE, Echocardiography, 11(1), 1994, pp. 65-69
The precise diagnosis of the presence of significant left main coronar
y artery disease has profound prognostic and therapeutic implications.
Coronary cineangiography has shown to be imprecise and inaccurate to
determine the percent stenosis of the left main coronary artery. We re
port a case with significant left main coronary artery disease in whom
coronary cineangiography was in discordance with the clinical data an
d intravascular ultrasonography. Based on the intravascular ultrasound
findings, the patient underwent coronary artery bypass graft surgery.
Therefore, the intravascular ultrasonography may be the procedure of
choice for assessing indeterminant left main coronary artery lesions b
y coronary angiography.