Double Culprit Lesions in a Patient With ST-Segment Elevation Myocardial Infarction: Should I Stent or Should I Go?

Georges Hage; Iphigénie Reibel; Jean Claude Dib; Fabrice Beverelli; Philippe Allouch; Serge Makowski; Julien Rosencher

doi:10.1016/j.jaccas.2021.07.028

Double Culprit Lesions in a Patient With ST-Segment Elevation Myocardial Infarction: Should I Stent or Should I Go?

JACC Case Rep. 2021 Dec 15;3(18):1906-1910. doi: 10.1016/j.jaccas.2021.07.028.

Authors

Georges Hage¹, Iphigénie Reibel¹, Jean Claude Dib¹, Fabrice Beverelli¹, Philippe Allouch¹, Serge Makowski¹, Julien Rosencher¹

Affiliation

¹ Service Department, Clinique Ambroise Paré, Neuilly Sur Seine, France.

Abstract

We describe the case of simultaneous acute thrombotic occlusions in 2 major coronary arteries in a young patient admitted for extensive myocardial infarction. We highlight the importance of intravascular imaging to determine the underlying putative mechanism and to optimize treatment decisions. (Level of Difficulty: Intermediate.).

Keywords: LAD, left anterior descending artery; OCT, optical coherence tomography; RCA, right coronary artery; STEMI, ST-segment elevation myocardial infarction; coronary angiography; imaging; myocardial infarction.

Publication types

Case Reports