Dipesh Pradhan
Acute myocardial infarction induced by left main coronary artery (LMCA) stenosis is the infrequent but fatal disease. LMCA stenosis occurs in 4-10% whereas lethal total occusion of LMCA occurs in 0.04-0.42% of angiograms. We report the case of 52 years diabetic obese male with central chest pain for one week; electrocardiogram (ECG) shows ST elevation in leads aVR, V1-V4, and coronary angiography displays stenosis of LMCA (>80% occlusion).The high risk primary angioplasty with drug eluting stent was performed in the unprotected LMCA without any complications.
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