Abstract:There is growing global attention concerning the short and long term prognosis of acute coronary syndrome
(ACS) in patients with prior coronary artery bypass grafting (CABG). Significant left main coronary artery
(LMCA) disease occurs in 5%-7% of patients undergoing coronary angiography, which is associated with
a worse prognosis. We report a series of 3 patients presenting with LMCA disease out of which one patient
successfully underwent CABG, and two patients managed with optimal medical therapy.
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