Key result
Conservative therapy in a 44-year-old male with acute anterior myocardial infarction and total left main coronary artery occlusion resulted in N.Y.H.A. functional class II at 2 years follow-up.
Case Report (n=1)
Survival after acute left main coronary artery occlusion is possible with conservative management when supported by collateral circulation.
Acceptable outcomes possible with conservative care in collateralized left main occlusion; leaves open generalizability beyond this case report.
We report a 44‐year‐old white male presenting with an acute anterior myocardial infarction. Cardiac catheterization at 2 weeks postinfarction revealed total occlusion of the left main coronary artery. There was a normal dominant right coronary artery supplying moderate collaterals to the left coronary system. The patient was managed with conservative therapy and was N.Y.H.A. functional class II on followup 2 years later. A review of the literature relative to myocardial infarction caused by acute left main coronary artery occlusion is presented, and unique features of these cases are described.
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Cohen et al. (1989) conducted a case report in Acute anterior myocardial infarction (n=1). Conservative therapy was evaluated on N.Y.H.A. functional class. Conservative therapy in a 44-year-old male with acute anterior myocardial infarction and total left main coronary artery occlusion resulted in N.Y.H.A. functional class II at 2 years follow-up.