Search tips
Search criteria 


Logo of bmjcrBMJ Case ReportsVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
BMJ Case Rep. 2010; 2010: bcr1120092467.
Published online 2010 October 28. doi:  10.1136/bcr.11.2009.2467
PMCID: PMC3027521
Images in…

Survival of acute ST-elevation myocardial infarction with total occlusion of the left main coronary artery


This image demonstrates the survival of a patient with total acute occlusion of the left main stem, which was treated by primary percutaneous coronary intervention (PCI). Before the patient was referred to the emergency room, she had already suffered from chest pain for about 11 h. Remarkably, the patient survived the acute myocardial infarction despite extreme myocardial necrosis of >60% of the left ventricle as demonstrated by delayed enhancement MRI. The attached images show angiography before and after PCI, the impressive initial ECG and delayed enhanced MRI with mainly transmural contrast enhancement.

Articles from BMJ Case Reports are provided here courtesy of BMJ Publishing Group