Primary Percutaneous Coronary Intervention in the Left Main ST-Elevation Myocardial Infarction and Cardiogenic Shock on Octogenarian Patient with Single Remaining Vessel

Mochamad Yusuf Alsagaff; Kandita Arjani; Yudi Oktaviono; Sondang Sitorus

doi:10.3889/oamjms.2021.6032

Authors

Mochamad Yusuf Alsagaff Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Airlangga, Surabaya, Indonesia https://orcid.org/0000-0003-2194-6850
Kandita Arjani Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Airlangga, Surabaya, Indonesia https://orcid.org/0000-0001-8937-2887
Yudi Oktaviono Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Airlangga, Surabaya, Indonesia
Sondang Sitorus Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Airlangga, Surabaya, Indonesia https://orcid.org/0000-0002-4675-011X

DOI:

https://doi.org/10.3889/oamjms.2021.6032

Keywords:

ST-elevation myocardial Infarction augmented vector right, Left main ST-elevation myocardial Infarction, Single remaining vessel, Octogenarian

Abstract

The left main coronary artery (LMCA) ST-elevation myocardial infarction has been associated with significant morbidity and mortality. Older age and cardiogenic shock are independent predictors for in-hospital mortality. Here, we report a case of an 89-year-old Javanese man with a history of smoking presented with total LMCA occlusion complicated by cardiogenic shock in an octogenarian that was saved by stenting in thrombolysis in myocardial Infarction Flow III right coronary artery.

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