Acute Myocardial Infarction with Simultaneous Occlusions of Left Anterior Descending Artery and Right Coronary Artery.
- Author:
Kyu Yong KO
1
;
Dae Hyeok KIM
;
Tae Hyeon HWANG
;
Sun Young LEE
;
Sung Ill WOO
;
Ho Yeon JOO
;
Jin Chul KIM
Author Information
1. Division of Cardiology, Department of Internal Medicine, Inha University School of Medicine, Incheon, Korea. kdhmd@inha.ac.kr
- Publication Type:Case Report
- Keywords:
Coronary occlusion;
Myocardial infarction;
Cardiogenic shock
- MeSH:
Adult;
Arteries*;
Catheters;
Coronary Occlusion;
Coronary Vessels*;
Counterpulsation;
Heart Failure;
Humans;
Myocardial Infarction*;
Percutaneous Coronary Intervention;
Risk Factors;
Shock, Cardiogenic;
Thorax
- From:Soonchunhyang Medical Science
2013;19(2):115-119
- CountryRepublic of Korea
- Language:English
-
Abstract:
Acute myocardial infarctions involving multiple coronary arteries simultaneously are infrequent and causative risk factors of the occlusions are unclear. However, severe complications arise, such as congestive heart failure or death. We report a case of two simultaneously occluded coronary arteries. A 39-year-old Korean man with simultaneous total occlusion of the left anterior descending artery and the right coronary artery presented with chest discomfort and cardiogenic shock. Immediate percutaneous coronary intervention was performed and a transvenous temporary pacemaker and intra-aortic balloon counterpulsation catheter were inserted. Through continuous effort he was discharged 8 days post intervention without any complaints.
