Left main artery stenting under percutaneous cardiopulmonary support after right coronary artery ST elevation infarction.
- Author:
Jung Myung LEE
1
;
Sung Jin HONG
;
Yongsung SEO
;
Jung Woo SON
;
Jin Sun KIM
;
Jung Sun KIM
;
Yangsoo JANG
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. kjs1218@yuhs.ac.kr
- Publication Type:Case Report
- Keywords:
Coronary arteries;
Extracorporeal circulation;
Percutaneous transluminal coronary angioplasty;
Myocardial infarction
- MeSH:
Aged, 80 and over;
Angioplasty, Balloon, Coronary;
Arteries;
Constriction, Pathologic;
Coronary Artery Bypass;
Coronary Artery Disease;
Coronary Vessels;
Drug-Eluting Stents;
Equipment and Supplies;
Extracorporeal Circulation;
Glycosaminoglycans;
Heart Ventricles;
Humans;
Infarction;
Male;
Myocardial Infarction;
Myocardium;
Percutaneous Coronary Intervention;
Stents;
Ventricular Function, Left
- From:Korean Journal of Medicine
2009;77(1):118-123
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The left main coronary artery branches to form the left anterior descending and left circumflex arteries and supplies the entire myocardium of the left ventricle. Treatment guidelines recommend coronary artery bypass grafting in left main coronary artery disease. However, some recent studies have demonstrated that, although the target vessel revascularization rate is relatively high, percutaneous coronary intervention (PCI) has a comparable mortality rate to coronary artery bypass grafting in left main disease. In this case, an 80-year-old male with a recent ST elevation myocardial infarction of the right coronary artery (RCA) was transferred to our hospital for second-stage PCI for left main artery stenosis, which was found incidentally at the time of primary PCI of the RCA. Although he had severely depressed left ventricular function, a drug-eluting stent was implanted successfully in his left main coronary artery with percutaneous cardiopulmonary support.
