Management of Left Main Artery Disease with Severe LV Dysfunction
Keywords:
Left main artery disease, LV dysfunction, PCI, intra-aortic balloon pump, optimal medical therapy.Abstract
Background: Left main artery disease (LMAD) poses a significant risk to patients, often leading to complications such as chest pain and hypotension with high mortality rates. Prompt and proper management is essential for improving outcomes in these cases.
Case Presentation: A 50-year-old lady with hypertension and diabetes presented with ST-segment elevation myocardial infarction (STEMI) refractory to thrombolysis, complicated by severe LV dysfunction. Coronary angiography revealed LMAD involving the LAD and LCx arteries.
Management & Results: High-risk percutaneous coronary intervention (PCI) under intra-aortic balloon pump (IABP) support was performed, resulting in successful stenting of the LMAD and improvement in symptoms and LV function.
Conclusion: This case highlights the importance of timely intervention and the role of IABP-assisted PCI in managing LMAD with severe LV dysfunction, emphasizing the need for a simplified approach and adherence to optimal medical therapy.
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