The Ewha Medical Journal  2015;38(3):133-137

doi:10.12771/emj.2015.38.3.133

Acute Myocardial Infarction Occurred in Multivessel Disease Including Chronic Total Occlusion.

Jee Seon KIM 1 ; Tae Hoon YIM ; Byung Chul KIM ; Hyun Sik JU ; Ja Joong GU ; Tae Jin KIM

Affiliations

+expand

Keywords

Simultaneous; Coronary occlusion; Myocardial infarction

Country

Republic 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.