<abstract xmlns="http://www.w3.org/1999/xhtml">

<p>We present the case of patient with ST elevation myocardial infarction in cardiogenic shock with primary percutaneous coronary intervention of Left anterior descending coronary artery and Left main coronary artery with staged complex procedure on Left anterior descending/Diagonal branch bifurcation in Culotte manner. This case shows that “the simpler, the better” approach of only infarct related artery revascularization may be applied in acute patients with cardiogenic shock and optimal clinical and hemodynamic response on revascularization and intra-aortic balloon pump. But, complete revascularization should be done in staged procedure and later, a control coronary angiography with intravascular ultrasound assistance is mandatory.</p>
</abstract>

We present the case of patient with ST elevation myocardial infarction in cardiogenic shock with primary percutaneous coronary intervention of Left anterior descending coronary artery and Left main coronary artery with staged complex procedure on Left anterior descending/Diagonal branch bifurcation in Culotte manner. This case shows that “the simpler, the better” approach of only infarct related artery revascularization may be applied in acute patients with cardiogenic shock and optimal clinical and hemodynamic response on revascularization and intra-aortic balloon pump. But, complete revascularization should be done in staged procedure and later, a control coronary angiography with intravascular ultrasound assistance is mandatory.

Primary Percoutaneous Coronary Intervention on Unprotected Left Main Coronary Artery with Staged Complex Bifurcational Treatment: A Case Report

Department of Internal medicine, Faculty of medical sciences

Experimental and Applied Biomedical Research (EABR)

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

We present the case of patient with ST elevation myocardial infarction in cardiogenic shock with primary percutaneous coronary intervention of Left anterior...

Primary Percoutaneous Coronary Intervention on Unprotected Left Main Coronary Artery with Staged Complex Bifurcational Treatment: A Case Report

Published Online: May 29, 2021

Page range: 83 - 86

Received: Oct 10, 2018

Accepted: Oct 28, 2018

DOI: https://doi.org/10.2478/sjecr-2018-0046

Keywords
cardiogenic shock, PPCI, left main, IABP, IVUS

© 2020 Ivan Simic et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Primary Percoutaneous Coronary Intervention on Unprotected Left Main Coronary Artery with Staged Complex Bifurcational Treatment: A Case Report

Published Online: May 29, 2021

Page range: 83 - 86

Received: Oct 10, 2018

Accepted: Oct 28, 2018

DOI: https://doi.org/10.2478/sjecr-2018-0046

Keywordscardiogenic shock, PPCI, left main, IABP, IVUS

© 2020 Ivan Simic et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
cardiogenic shock, PPCI, left main, IABP, IVUS