We describe 2 patients with Takayasu's arteritis and left main coronary stenosis who were considered poor candidates for surgical revascularization. Elective left main coronary artery balloon angioplasty followed by endoluminal stenting was performed with excellent results. At 3-mo follow-up, one patient had evidence of in-stent restenosis, but the other remained asymptomatic. In selected patients with Takayasu's arteritis and left main coronary stenosis, elective endoluminal stenting can be used as a definitive procedure or as a bridge to surgical revascularization.
