ISSN 1016-5169 | E-ISSN 1308-4488
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Emergency revascularization procedures in patients with acute ST-elevation myocardial infarction due to acute total occlusion of unprotected left main coronary artery: a report of five cases [Turk Kardiyol Dern Ars]
Turk Kardiyol Dern Ars. 2010; 38(2): 131-134

Emergency revascularization procedures in patients with acute ST-elevation myocardial infarction due to acute total occlusion of unprotected left main coronary artery: a report of five cases

Nazif Aygül, Meryem Ülkü Aygül, Kurtuluş Özdemir, Bülent Behlül Altunkeser
Selcuk University, Meram Faculty of Medicine, Cardiology Department, Konya, Turkey

Several studies have compared the efficacy of elective coronary artery stenting and coronary artery bypass grafting (CABG) in patients with unprotected left main coronary artery (ULMCA) disease. However, a definite reperfusion modality has yet to be established in ST-elevation myocardial infarction (STEMI) due to acute total occlusion of ULMCA, which has catastrophic clinical results. We presented five patients (3 males, 2 females; mean age 59 years; range 53 to 67 years) with acute anterior STEMI and angiographically documented acute total occlusion of ULMCA. On presentation, all the patients had chest pain and four patients were in cardiogenic shock. All the patients were taken to the catheterization room with minimum delay. Intra-aortic balloon counterpulsation was used during coronary angiography in all the patients. Three patients underwent PCI and, after balloon predilatation, bare-metal stents were implanted and TIMI III flow was achieved. One patient who had atrial fibrillation on admission died on the 14th day of hospitalization after PCI due to pump failure. After diagnostic coronary angiography, two patients were submitted to surgery for emergency CABG. They both died, one within two hours of admission during preparation of the surgical team, and the other on the third postoperative day. Both were in cardiogenic shock on admission.

Keywords: Angioplasty, transluminal, percutaneous coronary, coronary stenosis; myocardial infarction/therapy; myocardial revascularization; shock, cardiogenic/complications; stents

How to cite this article
Nazif Aygül, Meryem Ülkü Aygül, Kurtuluş Özdemir, Bülent Behlül Altunkeser. Emergency revascularization procedures in patients with acute ST-elevation myocardial infarction due to acute total occlusion of unprotected left main coronary artery: a report of five cases. Turk Kardiyol Dern Ars. 2010; 38(2): 131-134

Corresponding Author: Nazif Aygül, Türkiye
Manuscript Language: English


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