Survival after myocardial infarction caused by acute left main coronary artery occlusion: case report and review of the literature.
We report a 44-year-old white male presenting with an acute anterior myocardial infarction. Cardiac catheterization at 2 weeks postinfarction revealed total occlusion of the left main coronary artery. There was a normal dominant right coronary artery supplying moderate collaterals to the left coronary system. The patient was managed with conservative therapy and was N.Y.H.A. functional class II on followup 2 years later. A review of the literature relative to myocardial infarction caused by acute left main coronary artery occlusion is presented, and unique features of these cases are described.
Cohen
M C
MC
Department of Medicine, University of Vermont College of Medicine, Burlington.
Ferguson
D W
DW
D000328:Adult; D001157:Arterial Occlusive Diseases / Q000150:complications*; D003327:Coronary Disease / Q000150:complications*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology* / Q000401:mortality