Clinical case of stenting of the left main coronary artery under artificial circulation: a case report

Jibran Mohamed Jazver; Patel Krushikumar Panishkumar; Isuri Umayangana Samarakoon; Gardhi Hettiarachchige Nisal Gawesha Logus; Liudmila Kalatsei; Alexander Cherniak

doi:10.18203/2320-6012.ijrms20241915

Authors

Jibran Mohamed Jazver Department of Internal Medicine, Grodno State Medical University, Grodno, Belarus
Patel Krushikumar Panishkumar Department of Internal Medicine, Grodno State Medical University, Grodno, Belarus
Isuri Umayangana Samarakoon Department of Internal Medicine, Grodno State Medical University, Grodno, Belarus
Gardhi Hettiarachchige Nisal Gawesha Logus Department of Internal Medicine, Grodno State Medical University, Grodno, Belarus
Liudmila Kalatsei Department of Internal Medicine, Grodno State Medical University, Grodno, Belarus
Alexander Cherniak Department of Internal Medicine, Grodno State Medical University, Grodno, Belarus

DOI:

https://doi.org/10.18203/2320-6012.ijrms20241915

Keywords:

Coronary artery disease chronic AF, Coronary artery stenosis, Artificial external circulation, Spontaneous coronary artery dissection, Coronary artery stenting

Abstract

This case report documents the intricate management of a 61-year-old patient presenting with acute coronary syndrome, permanent atrial fibrillation (AF), and a history of prior cardiac interventions. Coronary angiography revealed significant left coronary artery pathology, necessitating intervention under artificial circulation. Percutaneous coronary intervention was deemed unsuitable due to high risk, prompting the installation of an intra-aortic balloon counter pulsation system. Subsequent interventional stenting of the left main coronary artery (LCA) was successfully performed. Despite post-operative complications, including pneumonia and renal dysfunction, the patient exhibited steady improvement, highlighting the importance of tailored, multidisciplinary care in complex cardiovascular cases.

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