Acute Myocardial Infarction with Complete Artery Occlusion. Report of Two Cases
pp 281-284
DOI:
https://doi.org/10.7775/rac.v68i2.3120Keywords:
Arterial tree occlusion, Systemic inflammatory response syndrome, Cardiogenic shockAbstract
Total occlusion of the left main coronary artery is a rare angiographic finding occurring in only 0.37% of patients presenting with an acute myocardial infarction. The outcome of these patients seems to depend on the anatomy of the coronary tree and the time from onset to reperfusion. Both patients described in this presentation received successful primary coronary angioplasty; one of them five minutes after the occlusion and the other two hours later.Despite the fact that recovery of left ventricular function was excellent in one of them and poor in the other, both of them had a complicated in-hospital evolution due to a systemic inflammatory response syndrome.
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