Emergency revascularization procedures in patients with acute ST-elevation myocardial infarction due to acute total occlusion of unprotected left main coronary artery: A report of five cases

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dc.contributor.authorAygül, Nazif
dc.contributor.authorAygül, Meryem Ülkü
dc.contributor.authorÖzdemir, Kurtuluş
dc.contributor.authorAltunkeser, Bülent Behlül
dc.date.accessioned2020-03-26T18:06:05Z
dc.date.available2020-03-26T18:06:05Z
dc.date.issued2010
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractSeveral studies have compared the efficacy of elective coronary artery stenting and coronary artery bypass grafting (CABG) in patients with unprotected left main coronary artery (ULMCA) disease. However, a definite reperfusion modality has yet to be established in ST-elevation myocardial infarction (STEMI) due to acute total occlusion of ULMCA, which has catastrophic clinical results. We presented five patients (3 males, 2 females; mean age 59 years; range 53 to 67 years) with acute anterior STEMI and angiographically documented acute total occlusion of ULMCA. On presentation, all the patients had chest pain and four patients were in cardiogenic shock. All the patients were taken to the catheterization room with minimum delay. Intra-aortic balloon counterpulsation was used during coronary angiography in all the patients. Three patients underwent PCI and, after balloon predilatation, bare-metal stents were implanted and TIMI III flow was achieved. One patient who had atrial fibrillation on admission died on the 14th day of hospitalization after PCI due to pump failure. After diagnostic coronary angiography, two patients were submitted to surgery for emergency CABG. They both died, one within two hours of admission during preparation of the surgical team, and the other on the third postoperative day. Both were in cardiogenic shock on admission.en_US
dc.identifier.endpage134en_US
dc.identifier.issn1016-5169en_US
dc.identifier.issue2en_US
dc.identifier.pmid20473018en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage131en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/25618
dc.identifier.volume38en_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherTurkish Anaesthesiology and Intensive Care Societyen_US
dc.relation.ispartofTurk Kardiyoloji Dernegi Arsivien_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectAngioplastyen_US
dc.subjectCardiogenic/ complicationsen_US
dc.subjectCoronary stenosisen_US
dc.subjectMyocardial infarction/therapyen_US
dc.subjectMyocardial revascularizationen_US
dc.subjectPercutaneous coronaryen_US
dc.subjectShocken_US
dc.subjectStentsen_US
dc.subjectTransluminalen_US
dc.titleEmergency revascularization procedures in patients with acute ST-elevation myocardial infarction due to acute total occlusion of unprotected left main coronary artery: A report of five casesen_US
dc.typeArticleen_US

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