open access

Vol 16, No 6 (2009)
Case Reports
Published online: 2009-11-19
Submitted: 2013-01-14
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Acute myocardial infarction in an 80 year-old woman caused by left main occlusion with concomitant chronic total occlusions of right and left coronary artery: Successful treatment with percutaneous revascularization

Marek Grygier, Aleksander Araszkiewicz, Maciej Lesiak, Stefan Grajek
Cardiol J 2009;16(6):568-572.

open access

Vol 16, No 6 (2009)
Case Reports
Published online: 2009-11-19
Submitted: 2013-01-14

Abstract

Although acute left main coronary artery occlusion is rare, it carries a very high mortality rate. Following the encouraging results of trials testing the effect of primary percutaneous coronary intervention, more cases of left main stenosis are treated as culprit lesion in acute myocardial infarction. Few cases of primary percutaneous intervention on left main occlusion have been published. We present the case of an elderly patient presenting with acute myocardial infarction complicated by cardiogenic shock due to left main occlusion, with concomitant chronic total occlusion of right and left anterior descending coronary arteries. Successful percutaneous intervention as a bridge to coronary artery bypass grafting was performed with stent implantation, which resulted in the relief of obstruction, the restoration of blood flow and the immediate clinical improvement of the patient. The patient left the hospital in good condition after 11 days, although she had refused the proposed coronary artery bypass grafting

Abstract

Although acute left main coronary artery occlusion is rare, it carries a very high mortality rate. Following the encouraging results of trials testing the effect of primary percutaneous coronary intervention, more cases of left main stenosis are treated as culprit lesion in acute myocardial infarction. Few cases of primary percutaneous intervention on left main occlusion have been published. We present the case of an elderly patient presenting with acute myocardial infarction complicated by cardiogenic shock due to left main occlusion, with concomitant chronic total occlusion of right and left anterior descending coronary arteries. Successful percutaneous intervention as a bridge to coronary artery bypass grafting was performed with stent implantation, which resulted in the relief of obstruction, the restoration of blood flow and the immediate clinical improvement of the patient. The patient left the hospital in good condition after 11 days, although she had refused the proposed coronary artery bypass grafting
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Keywords

left main coronary artery occlusion; percutaneous coronary intervention; myocardial infarction

About this article
Title

Acute myocardial infarction in an 80 year-old woman caused by left main occlusion with concomitant chronic total occlusions of right and left coronary artery: Successful treatment with percutaneous revascularization

Journal

Cardiology Journal

Issue

Vol 16, No 6 (2009)

Pages

568-572

Published online

2009-11-19

Bibliographic record

Cardiol J 2009;16(6):568-572.

Keywords

left main coronary artery occlusion
percutaneous coronary intervention
myocardial infarction

Authors

Marek Grygier
Aleksander Araszkiewicz
Maciej Lesiak
Stefan Grajek

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