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  • Title: Primary stenting of an unprotected left main coronary artery total occlusion in a patient with acute myocardial infraction and cardiogenic shock.
    Author: Karavolias GK, Georgiadou P, Iliodromitis EK, Cokkinos P, Adamopoulos S, Theodorakis GN, Kremastinos DT.
    Journal: Acute Card Care; 2006; 8(3):172-6. PubMed ID: 17012133.
    Abstract:
    Acute total occlusion of the left main coronary artery (LMCA) is a rare angiographic finding with very poor prognosis. We report a case of a 39-year-old man who presented with pulmonary edema and cardiogenic shock due to an acute anterior myocardial infarction. Coronary angiography, which was performed under the support of an intra-aortic balloon pump, revealed total occlusion of the LMCA. Prompt and successful percutaneous transluminal coronary angioplasty with sirolimus-stent deployment in the LMCA allowed for an uneventful recovery and discharge of the patient.
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