Myocardial reperfusion by thrombolysis after acute total left main artery occlusion--a case report

Coronary recanalization with thrombolytic agents is a new therapeutic approach to the treatment of acute myocardial infarction that can be beneficial even to patients in cardiogenic shock. Although few cases have been reported in the literature, treatment of acute occlusion of the left main coronary...

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Bibliographic Details
Published inAngiology Vol. 38; no. 5; p. 417
Main Authors Finzi, L A, Secches, A L, Evora, P R, Ribeiro, P J, Ferez, M A, Amaral, F T
Format Journal Article
LanguageEnglish
Published United States 01.05.1987
Subjects
Acute Disease
Combined Modality Therapy
Coronary Angiography
Coronary Disease - diagnosis
Coronary Disease - drug therapy
Coronary Disease - surgery
Electrocardiography
Fibrinolytic Agents - therapeutic use
Humans
Infusions, Intra-Arterial
Male
Middle Aged
Myocardial Revascularization
Streptokinase - administration & dosage
Time Factors
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Summary:Coronary recanalization with thrombolytic agents is a new therapeutic approach to the treatment of acute myocardial infarction that can be beneficial even to patients in cardiogenic shock. Although few cases have been reported in the literature, treatment of acute occlusion of the left main coronary artery (LMCA) has been made possible by myocardial reperfusion. This communication concerns a patient with acute LMCA occlusion who was successfully treated by thrombolytic therapy with streptokinase followed by revascularization of the myocardium seventy-two hours after reperfusion was achieved.
ISSN:0003-3197
DOI:10.1177/000331978703800510