1
Department of Cardiac Surgery, Faculty of Medical Sciences,Farshchian Heart Center, Hamadan University of Medical Sciences, Hamadan, IR Iran.
2
Department ofCardiology, Faculty of Medical Sciences,Farshchian Heart Center, Hamadan University of Medical Sciences, Hamadan, IR Iran
3
Department of Cardiac Surgery, Faculty of Medical Sciences,Farshchian Heart Center, Hamadan University of Medical Sciences, Hamadan, IR Iran
4
Department of Cardiac Surgery, Faculty of Medical Sciences, Mashhad University of MedicalSciences, Mashhad, IR Iran
Abstract
Background: The acute occlusion of the left main coronary artery (LMCA) in the absence of the collateral circulation is extremely rare, but it remains a catastrophic and mostly fatal entity due to myocardial infarction with severe cardiogenic shock and arrhythmias. Methods: We evaluated 2 patients with an acute or acutely evolving occlusion of the LMCA undergoing coronary artery bypass grafting (CABG). Results: The in-hospital mortality rate was 50%. Revascularization was achieved with on-pump CABG in both patients. Conclusions: The total occlusion of the LMCA represents a unique clinical condition. The LMCA occlusion with shock is regarded as a class IA indication for acute surgical revascularization. Nonetheless, emergent percutaneous coronary intervention (PCI) may be an effective method to acutely revascularize these patients. Additionally, aggressive post-PCI care—including intra- aortic balloon pumps, extracorporeal membrane oxygenation, CABG, and ventricular support devices—may be required to improve patient survival. (Iranian heart Journal 2018; 19(3): 64- 67)
Safarpoor,G. , Emami,F. , Shams,A. , Keshavari,S. , Moeinipour,A. and Manafi,B. (2018). Emergency Surgical Treatment for the Total Occlusion of the Left Main Coronary Artery: A Case Report. Iranian Heart Journal, 19(3), 64-67.
MLA
Safarpoor,G. , , Emami,F. , , Shams,A. , , Keshavari,S. , , Moeinipour,A. , and Manafi,B. . "Emergency Surgical Treatment for the Total Occlusion of the Left Main Coronary Artery: A Case Report", Iranian Heart Journal, 19, 3, 2018, 64-67.
HARVARD
Safarpoor G., Emami F., Shams A., Keshavari S., Moeinipour A., Manafi B. (2018). 'Emergency Surgical Treatment for the Total Occlusion of the Left Main Coronary Artery: A Case Report', Iranian Heart Journal, 19(3), pp. 64-67.
CHICAGO
G. Safarpoor, F. Emami, A. Shams, S. Keshavari, A. Moeinipour and B. Manafi, "Emergency Surgical Treatment for the Total Occlusion of the Left Main Coronary Artery: A Case Report," Iranian Heart Journal, 19 3 (2018): 64-67,
VANCOUVER
Safarpoor G., Emami F., Shams A., Keshavari S., Moeinipour A., Manafi B. Emergency Surgical Treatment for the Total Occlusion of the Left Main Coronary Artery: A Case Report. Iranian Heart Journal, 2018; 19(3): 64-67.
