Primary intracoronary stenting of unprotected left main coronary artery stenosis in two patients with no contraindication to surgery: Immediate and follow-up results

Although successful stenting has been reported on protected left main coronary artery or unprotected left main in patients with prohibitive surgical risks or in bail-out situations, no case of left main primary stent implantation in patients without surgical contraindication has yet been reported. We report immediate and late clinical and angiographic results in two patients (57 and 38-year-old men) who had unprotected left main coronary disease, with isolated stenosis on a large and long left main trunk, ideally suitable for stenting. We believe that stenting could change the matter of the contraindication of balloon angioplasty in left main coronary disease. However, further studies with a large number of patients and long-term follow-up are necessary to determine whether this approach will constitute a valuable alternative to surgery in the future.