Cor Vasa 2022, 64(5):518-521 | DOI: 10.33678/cor.2021.099

Culotte Stenting in the Acute Myocardial Infarction with Distal Left Main Thrombosis: A Case Report

Songül Usalp, Emine Altuntaş, Kanber Öcal Karabay
Department of Cardiology, Sancaktepe Sehit Profesor İlhan Varank Education and Training Hospital, Istanbul, Turkey

Background: The invasive treatment approach to unprotected distal left main bifurcation lesions (UDLMBL) is a difficult decision and requires experience in this regard. We present the successfully interventional treatment with culotte technique of UDLMBL of the patient presenting with acute ST-elevation myocardial infarction (STEMI). Case summary: A 66-year-old male patient admitted with typical chest pain, his ECG showed acute infero-posterolateral myocardial infarction. Coronary angiography revealed distal LM true bifurcation lesion. The successful culotte technique was performed. The patient was followed without events and discharged in a good condition.

Conclusion: The culotte technique can be performed in the setting of ST-elevation. The treatment method in the approach to UDLMBL in acute STEMI may vary depending on the experience of the centre and the choice of operator.

Keywords: Culotte stenting, Interventional treatment, STEMI, Thrombosis, UDLMBL

Received: May 22, 2021; Revised: August 13, 2021; Accepted: August 14, 2021; Published: November 1, 2022  Show citation

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Usalp S, Altuntaş E, Karabay KÖ. Culotte Stenting in the Acute Myocardial Infarction with Distal Left Main Thrombosis: A Case Report. Cor Vasa. 2022;64(5):518-521. doi: 10.33678/cor.2021.099.
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