Mechanical circulatory support during high-risk percutaneous coronary intervention in a young male patient

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Keywords

• a 58-year-old man
• with a history of myocardial infarction
• hypercholesterolemia
• smoking
• arterial hypertension
• chronic obstructive pulmonary disease
• paroxysmal atrial fibrillation
• and stroke
• was transferred from another hospital to our department to undergo high-risk percutaneous coronary intervention (pci). previously performed coronary angiography revealed a multi-vessel disease with significant stenosis of the left main (lm) and left ascending coronary artery (lad)
• as well as occlusions of the right coronary artery and circumflex artery (figure 1 a). due to severely depressed left ventricular (lv) function (ejection fraction of 25%) and the need for complex pci of the last remaining vessel
• after the discussion with the heart team
• he was scheduled for pci with the support of a percutaneous left ventricular assist device (plvad) – so-called ‘protected pci’ [1].