CLINICAL CASE OF RETROGRADE RECANALIZATION OF THE LEFT ANTERIOR DESCENDING ARTERY IN A PATIENT WITH ACUTE MYOCARDIAL INFARCTION WITH MULTIVESSEL CORONARY DISEASE
Percutaneous coronary intervention in patients with acute myocardial infarction with multivessel coronary artery disease remains an actual problem in modern interventional cardiology and is classified as technically challenging endovascular intervention. This group of patients is characterized by severe clinical condition and poor prognosis due to the presence of large areas of damaged myocardium. In such pathology, the principle of intervention on the infarct-related artery not always leads to the improvement of clinical condition of the patient. That is why in some cases the strategy of maximal possible revascularization is used. This paper illustrates the case of successful endovascular treatment of patient in acute myocardial infarction with multivessel coronary disease. The intervention was carried out using cardiotonic support and intra-aortic balloon pump system. The tactics of maximal possible revascularization was used, which included the successful performance of retrograde recanalization of the left anterior descending artery.