Emergent Primary Coronary Angioplasty Saved lives in Left Main Shock Syndrome: A report of two cases with different manifestations and management

Abstract

Acute occlusion of the left main (LM) coronary artery leading to cardiogenic shock, so-called the Left Main Shock syndrome (LMSS), is an extremely dangerous life- threatening conditions.1 Despite successful revascularization, the mortality rates of LMSS remain high, in the ranges of 33-94%.2-4 In Thailand, the prevalence and outcome of this lethal condition is still underreported, thus we disscuss below two LMSS cases that survived emergent coronary angioplasty but who displayed different manifestation and thus altered our treatment decisions.