Acute myocardial infarction due to left main coronary artery occlusion View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2002-04

AUTHORS

Osamu Shigemitsu, Tetsuo Hadama, Shinji Miyamoto, Hirofumi Anai, Hidenori Sako, Eriko Iwata

ABSTRACT

OBJECTIVE: Acute myocardial infarction due to left main coronary artery occlusion remains catastrophic and mostly fatal due to severe cardiogenic shock and arrhythmia. METHODS: We studied 13 patients undergoing coronary artery bypass grafting for acute myocardial infarction due to left main coronary artery occlusion to clarify the optimal management of these difficult patients. RESULTS: In-hospital mortality was 46.2% (6/13). Revascularization was achieved by catheter intervention followed by bypass surgery in 7, and bypass surgery alone in 6. Two bypass surgery patients without catheter intervention had collateral flow to the left coronary artery, with the right coronary artery dominant. The time from onset to recanalization in the survival group was significantly shorter than in the early death group. CONCLUSIONS: Emergency intervention to preserve left ventricular function or right coronary artery dominant and collateral blood flow to left coronary arteries is important for improving the prognosis of patients with acute myocardial infarction due to left main coronary artery occlusion. If residual left main coronary artery stenosis is significant or other proximal coronary stenosis exists after catheter intervention, early coronary bypass surgery may improve long-term survival. More... »

PAGES

146-151

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf02913195

DOI

http://dx.doi.org/10.1007/bf02913195

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1044086155

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/11993195


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