心血管疾患と診断

Stenting of the Left Main Coronary Stenosis

Abstract

Dipesh Pradhan

Acute myocardial infarction induced by left main coronary artery (LMCA) stenosis is the infrequent but fatal disease. LMCA stenosis occurs in 4-10% whereas lethal total occusion of LMCA occurs in 0.04-0.42% of angiograms. We report the case of 52 years diabetic obese male with central chest pain for one week; electrocardiogram (ECG) shows ST elevation in leads aVR, V1-V4, and coronary angiography displays stenosis of LMCA (>80% occlusion).The high risk primary angioplasty with drug eluting stent was performed in the unprotected LMCA without any complications.