Acute myocardial infarction with ST segment elevation secondary to acute occlusion of the unprotected main trunk of the left coronary artery

Abstract

Oclussion of the unprotected left main coronary artery (CFI) is rarely observed during primary angioplasty in acute myocardial infarction, possibly in part because of the low probability of surviving the event long enough to get to a hospital. We report five cases of patients treated with primary angioplasty with different presentation and clinical evolution, highlighting the association with cardiogenic shock, high mortality and the role of primary reperfusion