Acute Myocardial Infarction with Complete Artery Occlusion. Report of Two Cases

pp 281-284

Authors

  • Miguel A. Veltri
  • José A. Amadeo
  • Jorge Ubaldini Servicio de Hemodinamia y Unidad de Cuidados Intensivos, Hospital Británico de Buenos Aires
  • Juan J. Cosentino Servicio de Hemodinamia y Unidad de Cuidados Intensivos, Hospital Británico de Buenos Aires
  • Gustavo Leiva
  • Julio Chertcoff
  • Bibiana Manavella

DOI:

https://doi.org/10.7775/rac.v68i2.3120

Keywords:

Arterial tree occlusion, Systemic inflammatory response syndrome, Cardiogenic shock

Abstract

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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Published

2026-03-10

Issue

Section

PRESENTACIÓN DE CASOS

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