Close
Help




JOURNAL

Clinical Medicine Insights: Case Reports

248,144 Journal Article Views | Journal Analytics

A Case of Left Main Coronary Artery Disease in an Octogenarian Treated Surgically and Complicated by Myocardial Infarction: Decisions, Techniques, Rescue and Final Outcome

Submit a Paper



Publication Date: 10 Apr 2013

Type: Case report

Journal: Clinical Medicine Insights: Case Reports

Citation: Clinical Medicine Insights: Case Reports 2013:6 61-65

doi: 10.4137/CCRep.S11542

Abstract

We report on an octogenarian patient presenting with an acute coronary syndrome due to significant left main coronary artery disease and severe ostial stenosis of the left anterior descending artery disease. Emergent bypass graft performed with “beating heart” consisted of left internal mammary graft to the mid left anterior descending artery with an “over-stent” anastomosis. The immediate post-operative phase was simple, however the patient presented on post-operative day 8 with extensive anterior myocardial infarction and cardiogenic shock. Emergent coronary angiogram showed subocclusive anastomotic stenosis. Percutaneous coronary intervention was performed on left main, proximal left anterior descending, and proximal circumflex arteries. Subsequently, the patient restored a satisfactory hemodynamic condition. A focus on the importance of decision for management of left main disease especially in octogenarian is presented, along with a review of the pertinent literature.


Downloads

PDF  (817.84 KB PDF FORMAT)

RIS citation   (ENDNOTE, REFERENCE MANAGER, PROCITE, REFWORKS)

BibTex citation   (BIBDESK, LATEX)

XML






What Your Colleagues Say About Clinical Medicine Insights: Case Reports
The submission process for publication in Clinical Medicine Insights: Case Reports is extremely smooth.  The editors were very fast in their response and provided detailed instructions about all procedures.  They were happy to answer to all our questions.  The whole process was fast and efficient.  Congratulations to Libertas Academica.
Dr Konstantinos Farsalinos (Onassis Cardiac Surgery Center, Kallithea, Greece)
More Testimonials

Quick Links


New article and journal news notification services