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Angiology
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Myocardial Reperfusion by Thrombolysis After Acute Total Left Main Artery Occlusion—A Case Report

Luiz Antonio P. Finzi

Department of Cardiothoracic Surgery, "São Francisco" Hospital, Ribeirão Preto, Brazil

Antonio Luis Secches

Department of Cardiothoracic Surgery, "São Francisco" Hospital, Ribeirão Preto, Brazil

Paulo Roberto Barbosa Evora

Department of Cardiothoracic Surgery, "São Francisco" Hospital, Ribeirão Preto, Brazil

Paulo José de Freitas Ribeiro

Department of Cardiothoracic Surgery, "São Francisco" Hospital, Ribeirão Preto, Brazil

Marcus Antonio Ferez

Department of Cardiothoracic Surgery, "São Francisco" Hospital, Ribeirão Preto, Brazil

Fernando T. V. Amaral

Department of Cardiothoracic Surgery, "São Francisco" Hospital, Ribeirão Preto, Brazil

Coronary recanalization with thrombolytic agents is a new therapeutic approach to the treatment of acute myocardial infarction that can be beneficial even to patients in cardiogenic shock. Although few cases have been reported in the literature, treatment of acute occlusion of the left main coronary artery (LMCA) has been made possible by myocardial reperfusion. This communication concerns a patient with acute LMCA occlusion who was successfully treated by thrombolytic therapy with streptokinase followed by revascularization of the myocardium seventy-two hours after reperfusion was achieved.

Angiology, Vol. 38, No. 5, 417-421 (1987)
DOI: 10.1177/000331978703800510
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