Napchan B P, Caramelli B, Tranchesi Júnior B, Arie S, De Oliveira S A, Bellotti G, Pileggi F
Instituto do Coração do Hospital das Clínicas-FMUSP.
Arq Bras Cardiol. 1990 Aug;55(2):113-5.
Percutaneous transluminal coronary angioplasty is unusual in acute myocardial infarction after left main coronary artery occlusion. We applied this therapy in two cases. The first, a 54-year-old man, submitted to mechanical reperfusion and left main coronary artery angioplasty 145 minutes after the beginning of the symptoms and coronary artery surgery 12 hours later; the second, a 77-year-old woman, submitted to both procedures but not to surgery. In the first case there was a satisfactory follow-up but in the second, the patient died twelve hours later.
经皮腔内冠状动脉成形术在左主冠状动脉闭塞后的急性心肌梗死中并不常见。我们对两例患者应用了这种治疗方法。第一例，一名54岁男性，在症状出现145分钟后接受了机械再灌注和左主冠状动脉成形术，并于12小时后接受了冠状动脉手术；第二例，一名77岁女性，接受了这两种手术，但未接受冠状动脉手术。第一例患者随访情况良好，但第二例患者在12小时后死亡。
