Elhakim Abdelrahman, Elhakim Mohamed, Frank Derk, Saad Mohammed
Interventional Cardiology Consultant Schleswig, Holstein University Hospital-Kiel, Arnold-Heller-Street 3, 24105, Kiel, Germany.
Intensive Care Medicine Department, The Royal Prince Alfred Hospital, 50 Missenden Rd, Camperdown, Sydney, NSW, 2050, Australia.
BMC Cardiovasc Disord. 2025 May 19;25(1):377. doi: 10.1186/s12872-025-04797-3.
An 81-year-old man with known ischemic heart disease and coronary artery bypass graft (CABG) was admitted with cardiogenic shock and ST segment elevation myocardial infarction (STEMI) of the anterior and lateral wall. Coronary angiography showed a total occlusion of left main coronary artery and acute thrombotic proximal segmental occlusion of the left subclavian artery before the origin of left internal mammary artery (LIMA). Successful percutaneous intervention proximal to the LIMA origin led to immediate restoration of antegrade flow in the left internal mammary artery (LIMA) to the left coronary circulation, stabilizing hemodynamics, and relieving symptoms.
一名81岁男性，已知患有缺血性心脏病且接受过冠状动脉旁路移植术（CABG），因心源性休克及前壁和侧壁ST段抬高型心肌梗死（STEMI）入院。冠状动脉造影显示左主干冠状动脉完全闭塞，左锁骨下动脉在左乳内动脉（LIMA）起始处之前的近端节段急性血栓性闭塞。在LIMA起始处近端成功进行经皮介入治疗，使左乳内动脉（LIMA）至左冠状动脉循环立即恢复顺行血流，稳定了血流动力学并缓解了症状。
