Acute Myocardial Infarction Occurred in Multivessel Disease Including Chronic Total Occlusion.
10.12771/emj.2015.38.3.133
- Author:
Jee Seon KIM
1
;
Tae Hoon YIM
;
Byung Chul KIM
;
Hyun Sik JU
;
Ja Joong GU
;
Tae Jin KIM
Author Information
1. Department of Internal Medicine, Yeungnam University Medical Center, Daegu, Korea.
- Publication Type:Case Report
- Keywords:
Simultaneous;
Coronary occlusion;
Myocardial infarction
- MeSH:
Aged;
Arteries;
Cardiopulmonary Resuscitation;
Coronary Disease;
Coronary Occlusion;
Coronary Vessels;
Death, Sudden, Cardiac;
Humans;
Multiple Organ Failure;
Myocardial Infarction*;
Percutaneous Coronary Intervention;
Pneumonia;
Prognosis;
Shock, Cardiogenic;
Tachycardia, Ventricular
- From:The Ewha Medical Journal
2015;38(3):133-137
- CountryRepublic of Korea
- Language:English
-
Abstract:
Simultaneous multi-vessel acute myocardial infarction is rare and has poor prognosis. We report a 70-year-old Korean man with an anteroseptal wall ST-elevation myocardial infarction presenting as ventricular tachycardia, sudden cardiac arrest and cardiogenic shock. After successful cardiopulmonary resuscitation, a coronary angiogram revealed three-vessel coronary disease; simultaneous total occlusions of the proximal left anterior descending artery (LAD) and the proximal left circumflex artery (LCX), and chronic total occlusion of the proximal right coronary artery. Primary percutaneous coronary intervention (PCI) of the LAD and LCX was successful and an intra-aortic balloon pump was inserted. Despite the timely and successful PCI result, he died on the 58th day in the hospital due to pneumonia with multiple organ failure.
