ABSTRACT
Interventionalists are drawn to the treatment of left main stem disease in a similar manner to the attraction a naked flame has for a moth! The left main coronary has until relatively recently been considered a surgical bastion, except in the case of lesions protected by the presence of patent grafts. There is occasionally the opportunity to perform an angioplasty on a patient who presents with an acutely occluded left main stem, as in one of our examples below. Increasingly, however, cardiologists are taking on left main lesions that do not fall into either of these categories.
