Successful Percutaneous Intervention of the Left Main and Right Coronary Arteries in the Same Session

Abstract

Left main coronary artery (LMCA) stenosis is a relatively infrequent but important cause of symptomatic coronary artery disease. Patients who have LMCA stenosis experience a high rate of complications during or shortly after catheterization. In this case, we present a 84 years old woman with subacute inferior myocardial infarction and confirmed diagnosis of both LMCA and right coronary ostial severe stenosis who was successfully managed with percutaneous coronary intervention in the same session due to the sudden development of cardiogenic shock.

ÖZET

Sol ana koroner arter (SAKA) darlığı semptomatik koroner arter hastalığının önemli fakat nispeten nadir bir sebebidir. SAKA darlığı olan hastalar kateterizasyon esnasında veya hemen sonrasında ortaya çıkabilecek yüksek komplikasyon riski altındadır. Bu vakada subakut inferior miyokard enfarktüsü ile prezente olan, koroner anjiyografi sonucu SAKA ve sağ koroner arterde ciddi osteal lezyon saptanan ve ani kardiyojenik şok geliştiği için aynı seansta hem SAKA hem de sağ koroner artere stent takılan 84 yaşında bir erkek hasta sunulmaktadır.

Keywords

• Left main coronary artery,cardiogenic shock,percutaneous coronary intervention,same session,Right coronary artery

Successful Percutaneous Intervention of the Left Main and Right Coronary Arteries in the Same Session

Abstract

Left main coronary artery (LMCA) stenosis is a relatively infrequent but important cause of symptomatic coronary artery disease. Patients who have LMCA stenosis experience a high rate of complications during or shortly after catheterization. In this case, we present a 84 years old woman with subacute inferior myocardial infarction and confirmed diagnosis of both LMCA and right coronary ostial severe stenosis who was successfully managed with percutaneous coronary intervention in the same session due to the sudden development of cardiogenic shock.

Keywords

• Left main coronary artery,right coronary artery,cardiogenic shock,percutaneous coronary intervention

References

1. Referans1. Naik H, White AJ, Chakravarty T, Forrester J, Fontana G, Kar S et al. A meta-analysis of 3,773 patients treated with percutaneous coronary intervention or surgery for unprotected left main coronary artery stenosis. JACC Cardiovasc Interv. 2009;2(8):739-47. Referans2. Windecker S, Kolh P, Alfonso F, Collet JP, Cremer J, Falk V et al. 2014 ESC/EACTS Guidelines on myocardial revascularization: The Task Force on Myocardial Revascularization of the European Society of Cardiology (ESC) and the European Association for Cardio-Thoracic Surgery (EACTS) Developed with the special contribution of the European Association of Percutaneous Cardiovascular Interventions (EAPCI). EuroIntervention. 2014 Sep 3. pii: 20140826e. Referans3. Montalescot G, Brieger D, Eagle KA, Anderson FA Jr, FitzGerald G, Lee MS et al. GRACE Investigators. Unprotected left main revascularization in patients with acute coronary syndromes. Eur Heart J. 2009;30(19):2308-17. Referans4. Marso SP, Steg G, Plokker T, Holmes D, Park SJ, Kosuga K et al. Catheter-based reperfusion of unprotected left main stenosis during an acute myocardial infarction (the ULTIMA experience). Unprotected Left Main Trunk Intervention Multi-center Assessment. Am J Cardiol. 1999;83(11):1513-17. Referans5. Tan WA, Tamai H, Park SJ, Plokker HW, Nobuyoshi M, Suzuki T et al. ULTIMA Investigators. Long-term clinical outcomes after unprotected left main trunk percutaneous revascularization in 279 patients. Circulation 2001;104(14):1609-14. Referans6. Caggegi A, Capodanno D, Capranzano P, Chisari A, Ministeri M, Mangiameli A et al. Comparison of one-year outcomes of percutaneous coronary intervention versus coronary artery bypass grafting in patients with unprotected left main coronary artery disease and acute coronary syndromes (from the CUSTOMIZE Registry). Am J Cardiol. 2011 Aug 1;108(3):355-59. Referans7. Abdelmalak HD, Omar HR, Mangar D, Camporesi EM. Unprotected left main coronary stenting as alternative therapy to coronary bypass surgery in high surgical risk acute coronary syndrome patients. Ther Adv Cardiovasc Dis. 2013 Aug;7(4):214-23.