Abstract
Background
Coronary artery bypass graft surgery (CABG) has been widely used for left main coronary artery disease (LMCAD). Percutaneous coronary intervention (PCI) has become an option for this condition.
Aims
To summarize the current evidence that compare between CABG vs. PCI in regards to cardiac death, stroke, and myocardial infarction. Methods
We searched randomized trials of treatment of LMCAD with PubMed, Google Scholar, and EBSCO.
Results
Five randomized studies were retrieved, which compared the efficacy between CABG vs. PCI in treatment of LMCAD.
Conclusion
PCI may be reasonable management of patients with LM stenosis involving distal bifurcation or with coexisting multivessel disease.