Why the study?
Acute occlusion of the left main coronary artery is a catastrophic event with evolving treatment strategies over the past 30 years.
Case Report (n=2)
This case report highlights the dramatic improvement in clinical outcomes for acute left main coronary artery occlusion over a 30-year period due to the advent of early revascularization.
Early revascularization may improve LV recovery in acute left main occlusion; leaves open feasibility of survival without intervention in the current era.
Acute occlusion of left main coronary artery is a catastrophic event. We describe two patients with acute occlusion of the left main coronary artery treated thirty years apart. The first patient was treated in 1982 and survived the event without revascularization but developed severe heart failure. His survival was so unusual that it merited a case report at that time. The second patient was treated at the end of 2015. Early revascularization resulted in myocardial reperfusion and near normal left ventricular function. These patients exemplify the progress in therapeutic cardiology over the last 30 years.
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Flugelman et al. (2016) conducted a case report in Acute occlusion of left main coronary artery (n=2). Early revascularization vs. No revascularization was evaluated on Survival and left ventricular function.
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