Bifurcation angioplasty is a newly conquered(Or not yet !) target for Interventional cardiologists.We have come a long way in planning interventions for left main with state of the art hardware, expertise and image assistance .However , every classification , approach, strategy for BFL talks about tackling the main and side branches meticulously.
Still . . . one question is not answered clearly is . . .
A mini MCQ.
Answer: Open for contribution.
My inference
*It all depends upon the Indication and Individual arterial ischemic burden. In ACS, if LAD territory is infarcted and beyond 24 hours.LAD becomes a side kick to the vital LCX which supplies the remaining life sustaining myocardium which includes the critical basal segments.
Final message
Since , the risks involved in the interventions of left main and its bifurcation is inherently linked with , what exactly we mean (and do ! ) to the side branch .Its mandatory we spare few intellectual moments before our hands invade the coronary battle zone.
Dr.S.Venkatesan MD 
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