How should I treat a left main disease with multivessel diffuse CAD? Stenting only the necessary...

A 71-year-old male patient with a clinicial history of hypertension, dyslipidemia and active smoking was admitted for NSTEMI.

Coronary angiography showed a left main (LM) stenosis involving the bifurcation and proximal parts of the left anterior descending (LAD) and left circumflex (LCx) arteries. Right coronary artery (RCA) showed a severe long diffuse disease.

The echocardiography showed mild reduced left ventricle ejection fraction (LVEF). 

How would you manage this case?

EBAC