How should I treat a complex critical left main bifurcation lesion in a patient with poor left ventricular function, an occluded dominant right coronary artery and severe peripheral vascular disease?

MeSH terms

• Acute Coronary Syndrome / complications
• Acute Coronary Syndrome / diagnosis
• Acute Coronary Syndrome / therapy*
• Aged
• Angioplasty, Balloon, Coronary* / instrumentation
• Anticoagulants / therapeutic use
• Coronary Angiography / methods
• Coronary Occlusion / complications*
• Coronary Occlusion / diagnosis
• Coronary Stenosis / complications
• Coronary Stenosis / diagnosis
• Coronary Stenosis / therapy*
• Electrocardiography
• Extracorporeal Membrane Oxygenation
• Humans
• Hydroxymethylglutaryl-CoA Reductase Inhibitors / therapeutic use
• Magnetic Resonance Imaging
• Male
• Peripheral Arterial Disease / complications*
• Peripheral Arterial Disease / diagnosis
• Platelet Aggregation Inhibitors / therapeutic use
• Severity of Illness Index
• Stents
• Tomography, X-Ray Computed
• Treatment Outcome
• Ventricular Dysfunction, Left / complications*
• Ventricular Dysfunction, Left / diagnosis
• Ventricular Dysfunction, Left / physiopathology
• Ventricular Function, Left*