Primary percutaneous coronary intervention in the left main stem of a monocoronary artery

M. Basalus, J.W. Louwerenburg, K.G. van Houwelingen, M.G. Stoel, C. von Birgelen

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    Abstract

    In a 71-year-old female with evolving anterior wall myocardial infarction, coronary angiography revealed a monocoronary artery which arose from the right sinus of Valsalva. Originating from a short common trunk, the left main stem showed a thrombotic lesion that occluded the left anterior descending coronary artery while the circumflex artery was obstructed. Intracoronary administration of abciximab, followed by stenting of the transition between the left anterior descending coronary artery and the main stem, and final kissing balloon inflation of the bifurcation resulted in an excellent angiographic result and favourable clinical outcome.
    Original languageEnglish
    Pages (from-to)274-276
    Number of pages3
    JournalNetherlands heart journal
    Volume17
    Issue number7
    DOIs
    Publication statusPublished - 2009

    Keywords

    • METIS-259909
    • Monocoronary artery
    • Single coronary artery
    • Primary PCI
    • Myocardial infarction
    • Congenital anomaly
    • Stent

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