Abstract
A 48-year-old woman was admitted with extensive anterior ST-elevation myocardial infarction and cardiac arrest on arrival. Emergent coronary angiography was performed simultaneously with cardiopulmonary resuscitation and multiple DC shocks for ventricular fibrillation. The right coronary artery was patent, but the origin of the left main coronary artery (LMCA) was not identified initially. After persistent efforts (2.5 hours), the LMCA origin was located at the right coronary sinus with a critical stenosis in its midportion. LMCA stenting was performed with a good angiographic result. The subsequent hospital course, which included prolonged mechanical ventilation and reversible anoxic brain injury, culminated in full hemodynamic and neurological recovery. Predischarge computed …
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