Primary percutaneous coronary intervention in a patient with acute myocardial infarction and three vessel disease including complete occlusion of two vessels: A case report

Akihiro Hirashiki, Masahiko Maeda, Masaya Kimura, Hideo Izawa, Yasuhiro Ogawa, Satoru Ohshima, Hiroyuki Asano, Masakazu Kobayashi, Takashi Yamada, Yosuke Murase, Toyoaki Murohara

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Abstract

A 68-year-old man was admitted to our hospital with acute myocardial infarction in a pre-shock condition. An emergent coronary angiogram revealed occlusion at the portion of both the middle RCA and middle LCx, and severe stenosis at a just proximal portion of the LAD. Initially, using IABP, two stents were deployed in the RCA and one stent was deployed in the LCx lesions. Finally, one stent was deployed in the just proximal LAD during a single procedure. This case suggests that if a patient's condition can be tolerated, emergent complete vascular therapy by primary PCI might be a good strategy for patients with AMI having multivessel disease.

Original languageEnglish
Pages (from-to)72-76
Number of pages5
JournalJapanese Journal of Interventional Cardiology
Volume21
Issue number1
Publication statusPublished - 2006

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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    Hirashiki, A., Maeda, M., Kimura, M., Izawa, H., Ogawa, Y., Ohshima, S., Asano, H., Kobayashi, M., Yamada, T., Murase, Y., & Murohara, T. (2006). Primary percutaneous coronary intervention in a patient with acute myocardial infarction and three vessel disease including complete occlusion of two vessels: A case report. Japanese Journal of Interventional Cardiology, 21(1), 72-76.