Khanal Suraj, Choudhary Anil K, Kumar Basant
Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh, IND.
Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, IND.
Cureus. 2023 Jul 16;15(7):e41983. doi: 10.7759/cureus.41983. eCollection 2023 Jul.
Acute total occlusion of the left main artery is a fatal event and is often accompanied by cardiogenic shock. Patients who experience this event have high mortality rates. Early percutaneous coronary intervention (PCI) with hemodynamic support has proven to improve clinical outcomes for these patients. Here we report a case of a 60-year-old man, who came into our emergency room with an acute anterior wall myocardial infarction accompanied by cardiogenic shock. He had a totally occluded left main artery on coronary angiography, necessitating cardiopulmonary resuscitation, followed by PCI with implantation of a drug-eluting stent along with hemodynamic support. Identification of typical ECG changes is crucial in patients with acute coronary syndrome caused by the occlusion of the left main coronary artery. A quick decision to perform a PCI procedure using early circulatory mechanical devices (intra-aortic balloon pump) is critical to patient survival.
左主干动脉急性完全闭塞是一种致命事件，常伴有心源性休克。经历此事件的患者死亡率很高。早期经皮冠状动脉介入治疗（PCI）并给予血流动力学支持已被证明可改善这些患者的临床结局。在此，我们报告一例60岁男性患者，他因急性前壁心肌梗死伴心源性休克进入我们的急诊室。冠状动脉造影显示他的左主干动脉完全闭塞，需要进行心肺复苏，随后进行PCI并植入药物洗脱支架，同时给予血流动力学支持。识别典型的心电图变化对于由左主干冠状动脉闭塞引起的急性冠状动脉综合征患者至关重要。迅速决定使用早期循环机械装置（主动脉内球囊泵）进行PCI手术对患者的生存至关重要。
