Key result
In a 61-year-old male with acute myocardial infarction due to total occlusion of the left main trunk, percutaneous transluminal coronary recanalization followed by emergency coronary artery bypass grafting resulted in successful revascularization and graft patency with no postoperative chest pain.
Case Report (n=1)
Emergency CABG following PTCR can be successfully performed for acute myocardial infarction caused by total occlusion of the left main trunk.
A 61-year-old male who experienced anterior chest pain while playing golf was referred to our hospital for acute myocardial infarction caused by occlusion of the left main trunk (LMT) and stenosis of the right coronary artery (RCA). The left main trunk was recanalized by percutaneous transluminal coronary recanalization (PTCR). As 90% stenosis of the trunk still remained, emergency coronary artery bypass grafting (CABG) of the left anterior descending artery (LAD), the diagonal branch (Dl) and the right coronary artery was performed using saphenous vein grafts (SVGS). The was no chest pain was observed postoperatively, and patency of all grafts was confirmed by postoperative angiography.
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SATO et al. (1996) conducted a case report in Acute myocardial infarction (n=1). Percutaneous transluminal coronary recanalization (PTCR) followed by emergency coronary artery bypass grafting (CABG) was evaluated on Graft patency and symptom resolution. In a 61-year-old male with acute myocardial infarction due to total occlusion of the left main trunk, percutaneous transluminal coronary recanalization followed by emergency coronary artery bypass grafting resulted in successful revascularization and graft patency with no postoperative chest pain.
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