TY  - JOUR
T1  - Successful Percutaneous Intervention of the Left Main and Right Coronary  Arteries in the Same Session
TT  - Successful Percutaneous Intervention of the Left Main and Right Coronary  Arteries in the Same Session
AU  - Aslan, Abdullah Nabi
AU  - Baştuğ, Serdal
AU  - Sivri, Serkan
AU  - Sarı, Cenk
PY  - 2017
DA  - September
DO  - 10.31832/smj.310401
JF  - Sakarya Tıp Dergisi
PB  - Sakarya Üniversitesi
WT  - DergiPark
SN  - 2146-409X
SP  - 154
EP  - 157
VL  - 7
IS  - 3
LA  - en
AB  - Left main coronary artery (LMCA) stenosis is a relativelyinfrequent but important cause of symptomatic coronary artery disease. Patientswho have LMCA stenosis experience a high rate of complications during orshortly after catheterization. Inthis case, we present a 84 years old woman with subacute inferior myocardialinfarction and confirmed diagnosis of both LMCA and right coronary ostialsevere stenosis who was successfully managed with percutaneous coronaryintervention in the same session due to the sudden development of cardiogenicshock.ÖZETSol ana koroner arter (SAKA) darlığı semptomatikkoroner arter hastalığının önemli fakat nispeten nadir bir sebebidir. SAKAdarlığı olan hastalar kateterizasyon esnasında veya hemen sonrasında ortayaçıkabilecek yüksek komplikasyon riski altındadır. Bu vakada subakut inferiormiyokard enfarktüsü ile prezente olan, koroner anjiyografi sonucu SAKA ve sağkoroner arterde ciddi osteal lezyon saptanan ve ani kardiyojenik şok geliştiğiiçin aynı seansta hem SAKA hem de sağ koroner artere stent takılan 84 yaşında birerkek hasta sunulmaktadır.
KW  - Left main coronary artery
KW  - cardiogenic shock
KW  - percutaneous coronary  intervention
KW  - same session
KW  - Right coronary artery
N2  - Left main coronary artery (LMCA) stenosis is a relativelyinfrequent but important cause of symptomatic coronary artery disease. Patientswho have LMCA stenosis experience a high rate of complications during orshortly after catheterization. Inthis case, we present a 84 years old woman with subacute inferior myocardialinfarction and confirmed diagnosis of both LMCA and right coronary ostialsevere stenosis who was successfully managed with percutaneous coronaryintervention in the same session due to the sudden development of cardiogenicshock.
CR  - 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.
UR  - https://doi.org/10.31832/smj.310401
L1  - https://dergipark.org.tr/tr/download/article-file/362357
ER  -