When a subclavian artery is equivalent to STEMI of left main coronary artery: a case report

Abstract An 81-year-old man with known ischemic heart disease and coronary artery bypass graft (CABG) was admitted with cardiogenic shock and ST segment elevation myocardial infarction (STEMI) of the anterior and lateral wall. Coronary angiography showed a total occlusion of left main coronary arter...

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Main Authors: Abdelrahman Elhakim, Mohamed Elhakim, Derk Frank, Mohammed Saad
Format: Article
Language:English
Published: BMC 2025-05-01
Series:BMC Cardiovascular Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12872-025-04797-3
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author Abdelrahman Elhakim
Mohamed Elhakim
Derk Frank
Mohammed Saad
author_facet Abdelrahman Elhakim
Mohamed Elhakim
Derk Frank
Mohammed Saad
author_sort Abdelrahman Elhakim
collection DOAJ
description Abstract An 81-year-old man with known ischemic heart disease and coronary artery bypass graft (CABG) was admitted with cardiogenic shock and ST segment elevation myocardial infarction (STEMI) of the anterior and lateral wall. Coronary angiography showed a total occlusion of left main coronary artery and acute thrombotic proximal segmental occlusion of the left subclavian artery before the origin of left internal mammary artery (LIMA). Successful percutaneous intervention proximal to the LIMA origin led to immediate restoration of antegrade flow in the left internal mammary artery (LIMA) to the left coronary circulation, stabilizing hemodynamics, and relieving symptoms.
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publishDate 2025-05-01
publisher BMC
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series BMC Cardiovascular Disorders
spelling doaj-art-6ac05b6ec8d44c40a541de76c994043f2025-08-20T01:52:26ZengBMCBMC Cardiovascular Disorders1471-22612025-05-012511510.1186/s12872-025-04797-3When a subclavian artery is equivalent to STEMI of left main coronary artery: a case reportAbdelrahman Elhakim0Mohamed Elhakim1Derk Frank2Mohammed Saad3Interventional Cardiology Consultant Schleswig, Holstein University Hospital-KielIntensive Care Medicine Department, The Royal Prince Alfred HospitalSchleswig-Holstein University Hospital-KielInterventional Cardiology Consultant Schleswig, Holstein University Hospital-KielAbstract An 81-year-old man with known ischemic heart disease and coronary artery bypass graft (CABG) was admitted with cardiogenic shock and ST segment elevation myocardial infarction (STEMI) of the anterior and lateral wall. Coronary angiography showed a total occlusion of left main coronary artery and acute thrombotic proximal segmental occlusion of the left subclavian artery before the origin of left internal mammary artery (LIMA). Successful percutaneous intervention proximal to the LIMA origin led to immediate restoration of antegrade flow in the left internal mammary artery (LIMA) to the left coronary circulation, stabilizing hemodynamics, and relieving symptoms.https://doi.org/10.1186/s12872-025-04797-3Subclavian artery stenosisMyocardial infarctionCoronary artery bypass graftCoronary subclavian steal syndromeCase report
spellingShingle Abdelrahman Elhakim
Mohamed Elhakim
Derk Frank
Mohammed Saad
When a subclavian artery is equivalent to STEMI of left main coronary artery: a case report
BMC Cardiovascular Disorders
Subclavian artery stenosis
Myocardial infarction
Coronary artery bypass graft
Coronary subclavian steal syndrome
Case report
title When a subclavian artery is equivalent to STEMI of left main coronary artery: a case report
title_full When a subclavian artery is equivalent to STEMI of left main coronary artery: a case report
title_fullStr When a subclavian artery is equivalent to STEMI of left main coronary artery: a case report
title_full_unstemmed When a subclavian artery is equivalent to STEMI of left main coronary artery: a case report
title_short When a subclavian artery is equivalent to STEMI of left main coronary artery: a case report
title_sort when a subclavian artery is equivalent to stemi of left main coronary artery a case report
topic Subclavian artery stenosis
Myocardial infarction
Coronary artery bypass graft
Coronary subclavian steal syndrome
Case report
url https://doi.org/10.1186/s12872-025-04797-3
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