Key result
Urgent CABG successfully treats acute STEMI from isolated LMCA stenosis in a single case.
Case Report (n=1)
This case report highlights the presentation and management of a rare case of isolated left main coronary artery disease presenting as an acute myocardial infarction.
Urgent CABG may be feasible in isolated left main STEMI; hypothesis-generating and should not yet change practice.
A 78-year-old man presented with a left main stenosis as the culprit lesion in an acute myocardial infarction. He had no significant narrowing in any other coronary territory. This case describes findings in an isolated left main myocardial infarction and discusses appropriate treatment strategies.
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Selbst et al. (2020) conducted a case report in ST elevation myocardial infarction with isolated left main coronary artery disease (n=1). Urgent coronary artery bypass grafting (CABG) was evaluated on Clinical recovery. Urgent coronary artery bypass grafting was successfully performed in a 78-year-old man presenting with an acute ST elevation myocardial infarction caused by an isolated left main coronary artery stenosis.
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