LMCA

LEFT MAIN CORONARY
ARTERY LESIONS

Left main coronary artery (LMCA) despite its short length is the most challenging area for both cardiovascular surgeons and interventional cardiologists.
Significant LMCA disease is defined as a greater than 50% angiographic narrowing of the vessel.
The LMCA is responsible for supplying about 75% of the LV cardiac mass in patients with right dominant type and 100% in the case of left dominant type.
Severe LMCA disease = significantly reduced blood flow to a large portion of the myocardium which will put the patient at high risk for LV dysfunction and arrhythmias.

Diagnosis of LMCA disease:

  • Most patients with LMCA disease are symptomatic.
  • Usually made by coronary angiography.
  • Left main coronary artery
  • Left main coronary artery
  • Left main coronary artery
  • Left main coronary artery

LMCA Treatments

There are three options for treating LMCA disease
  • Medical therapy
  • PCI
  • CABG

Preventive
Therapies

LMCA patients should receive preventive therapies – reduce risk of subsequent cardiovascular events
  • Smoking cessation
  • Exercise
  • Lower lipid levels
  • Management of diabetes mellitus
  • Achieve target blood pressure goals

Treatment of LMCA

Surgical treatment of LMCA disease
  • CABG was regarded as the standard of care
  • PCI has emerged as a possible alternative method
  • Patient characteristics and lesion location are important factors for the determination of treatment of choice. Operator’s experience and technical considerations also play a major role.

  • "Dr. Sharath Reddy is the best cardiologist in Hyderabad. We underwent the heart treatment under him. We are very happy with the treatment."

    SREE VATSAVA - HEART PATIENT

  • I would like to thank Dr Sharath Reddy and his team for the excellent cardiac care and treatment provided to me. I have been given all the information and advice to lead my life in a comfortable way after the procedure. I can’t thank you enough for all your time, hard work, and patience. I truly appreciate your caring dedication.

    Narayana E

  • My brother had severe dyspnoea (shortness of breath) and it was difficult for him to walk for even very small distances. He had severe pedal oedema (feet swelling) and was not able to do routine activities on his own. But after TAVI procedure he is able to breathe well and walk comfortably for small distances without any difficulty. Within a short time after the TAVI procedure he is performing his routine own activities. We are grateful to the cardiac team at Medicover Hospitals.

    Hanumantha Rao