Rescue treatment and follow-up intervention of a left main acute myocardial infarction with typical carina shift under 3D optical coherence tomography: A case report

作     者：Bei-Bei Du Ya-Liang Tong Xing-Tong Wang Guo-Hui Liu Kun Liu Ping Yang Yu-Quan He 

作者机构：Department of CardiologyChina-Japan Union Hospital of Jilin UniversityJilin Provincial Engineering Laboratory for Endothelial Function and Genetic Diagnosis of Cardiovascular DiseaseChangchun 130031Jilin ProvinceChina Department of Hematology and OncologyCancer CenterThe First Hospital of Jilin UniversityChangchun 130031Jilin ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2020年第8卷第4期

页      面：848-853页

核心收录：

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

基　　金：Supported by National Natural Science Foundation of China,No.81570360 Beijing Lisheng Cardiovascular Grant,No.LHJJ201612425 

主　　题：3-Dimensional optical coherence tomography Left main bifurcation Acute myocardial infarction Carina shift Kissing balloon inflation Case report 

摘      要：BACKGROUND Coronary intervention for bifurcation lesions is still challenging for interventional *** main(LM)bifurcation lesions have a higher risk due to the vast blood supply in this area and treatment choice is *** compromise of the side branch decreases patient prognosis,and its management is still an issue despite the different strategies and devices *** SUMMARY A 42-year-old male patient was admitted to hospital due to chest pain and *** angiography showed acute LM *** thrombus aspiration,a LM bifurcation lesion *** angiography was repeated one week later,and at the same time,3D optical coherence tomography(OCT)was carried out to better show the geometry of the bifurcation,which confirmed that the stenosis in the ostial left circumflex artery was caused by a long *** assessment of the plaque characteristics and the minimum lumen area,the cross-over strategy,kissing balloon inflation and proximal optimization technique were chosen to treat the bifurcation lesion.A“movingcarina was found twice during the *** stent apposition and expansion were confirmed by OCT after proximal optimization *** three-month follow-up showed good recovery and normal cardiac *** 3D-OCT can facilitate decision-making for coronary interventions in patients with critical bifurcation lesions.