Acute Left Main Coronary Artery (LMCA) occlusion is a rare clinical presentation which often manifests as a cardiogenic shock with worse prognosis. However the clinical outcome depends on the age of the patient, co-morbidities and the patency and dominancy of Right coronary artery. Since it supplies a large myocardial territory of left ventricle, it shows a characteristic Electrocardiographic (ECG) pattern which helps to an early diagnosis. Presence of ST elevation in aVR with ST depression of more than six leads is highly characteristic for LMCA occlusion. Here we are reporting an extremely rare case of acute concomitant occlusion of LMCA and Right coronary artery manifesting as a cardiogenic shock with ST elevation in aVR, ii, iii leads with ST depression in all other leads. Patient showed excellent clinical outcome and reversal of characteristic ECG pattern following Percutaneous Coronary Intervention (PCI) to the culprit vessels.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.