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Left main intervention in myocardial infarction
Author(s) -
Castagna Marco T.,
Machado Mauricio Cavalieri,
de Oliveira Jordan Vieira
Publication year - 2010
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.22300
Subject(s) - medicine , myocardial infarction , cardiology , percutaneous coronary intervention , intervention (counseling) , psychiatry
We report an 84‐year‐old patient who suddenly developed nausea, vomiting, hypotension, and needed intubation, assisted ventilation and pharmacological vasopressor support. Admission EKG showed anterior and lateral leads ST segment depression and 2 mm ST segment elevation in avR lead. Angiogram showed unprotected left‐main coronary‐artery (LM) sub‐occlusive disease and totally occluded ostial right‐coronary‐artery (RCA), distally filled through the left‐coronary system. Unprotected LM disease was immediately treated with bare metal stent. The stent jailed the left‐circunflex coronary‐artery (LCx) ostium but did not compromise the arterial flow. Lately, the patient was discharged in a very good health condition. Ten months angiographic follow‐up showed an extremely compromised LCx ostium treated successfully with drug eluted stent (DES) and mid left anterior descendent (LAD) severe lesion, treated with DES. © 2009 Wiley‐Liss, Inc.