Mortality benefits of coronary revascularization in a 38-year-old post-out-of-hospital cardiac arrest patient: Case report

A 38-year-old male dental patient experienced an out-of-hospital cardiac arrest (OHCA) due to a significant anterior myocardial infarction. After collapsing and losing responsiveness, he received advanced life support and intubation. An electrocardiogram confirmed the myocardial infarction, leading to an urgent coronary angiography that revealed a total occlusion in the proximal left anterior descending artery. Emergency revascularization with a drug-eluting stent was performed, restoring blood flow. Although he remained comatose after the procedure, echocardiography indicated preserved systolic function. Mechanical ventilation and enteral feeding were initiated to support recovery. This study highlights coronary revascularization's complexities and potential benefits for critically ill patients who have experienced an out-of-hospital cardiac arrest (OHCA). • Coronary revascularization can restore blood flow in post-out-of-hospital cardiac arrest. • Successful drug-eluting stent placement achieved adequate coronary artery flow. • Neurological recovery remains a key challenge despite timely cardiac interventions. • Public education on recognizing chest pain may help prevent cardiac arrest cases.