Key result
Primary DES successfully restores LMCA flow in acute MI without complications at 6 weeks.
Why the study?
Acute myocardial infarction caused by left main coronary artery stenosis is infrequent but fatal, with limited reports on high-risk primary angioplasty outcomes.
Case Report (n=1)
No
Answers are grounded in this paper and cite their sources.
Single-case success suggests procedural feasibility in left main AMI; leaves open safety and efficacy pending controlled trials.
Acute myocardial infarction induced by left main coronary artery (LMCA) stenosis is the infrequent but fatal disease.LMCA stenosis occurs in 4-10% whereas lethal total occusion of LMCA occurs in 0.04-0.42% of angiograms.We report the case of 52 years diabetic obese male with central chest pain for one week; electrocardiogram (ECG) shows ST elevation in leads aVR, V1-V4, and coronary angiography displays stenosis of LMCA (>80% occlusion).The high risk primary angioplasty with drug eluting stent was performed in the unprotected LMCA without any complications.
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Dipesh Pradhan (2013) conducted a case report in Left main coronary artery stenosis / Acute myocardial infarction (n=1). Primary angioplasty with drug-eluting stent was evaluated on Procedural success and vessel patency. Primary angioplasty with a drug-eluting stent successfully restored normal flow in a 52-year-old male with acute myocardial infarction due to left main coronary artery stenosis, with no complications at 6 weeks.
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