Acute myocardial infarction caused by total occlusion of the left main coronary artery. Report of one case treated with percutaneous endoluminal revascularization

We report a 43 years old female who developed an intense precordial pain an d arterial hypotension. The patient was admitted to the emergency room in c ardiogenic shock. An emergency angiography revealed a total occlusion. of t be left main coronary artery. An endoluminal coronary angioplasty with the placement of two stents was performed and coronary reperfusion TIMI III was achieved. The patient had a good evolution and one month later, a surgical revascularization was done, to avoid new occlusions. She was discharged in good conditions and in functional capacity I (Rev Mid Chile 2001; 129: 773 -9).