Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Feb 26, 2020; 8(4): 848-853
Published online Feb 26, 2020. doi: 10.12998/wjcc.v8.i4.848
Rescue treatment and follow-up intervention of a left main acute myocardial infarction with typical carina shift under 3D optical coherence tomography: A case report
Bei-Bei Du, Ya-Liang Tong, Xing-Tong Wang, Guo-Hui Liu, Kun Liu, Ping Yang, Yu-Quan He
Bei-Bei Du, Ya-Liang Tong, Guo-Hui Liu, Kun Liu, Ping Yang, Yu-Quan He, Department of Cardiology, China-Japan Union Hospital of Jilin University, Jilin Provincial Engineering Laboratory for Endothelial Function and Genetic Diagnosis of Cardiovascular Disease, Changchun 130031, Jilin Province, China
Xing-Tong Wang, Department of Hematology and Oncology, Cancer Center, The First Hospital of Jilin University, Changchun 130031, Jilin Province, China
Author contributions: Du BB and Wang XT were the patient’s physicians; He YQ, Du BB and Liu GH performed the coronary angiography and coronary intervention; Tong YL helped with the 3D reconstruction; Liu K helped with acquisition of data; Du BB, Yang P, and He YQ reviewed the literature and contributed to manuscript drafting; Du BB, Wang XT, and He YQ were responsible for revision of the manuscript for important intellectual content; all authors issued final approval for the version to be submitted.
Supported by National Natural Science Foundation of China, No. 81570360; Beijing Lisheng Cardiovascular Grant, No. LHJJ201612425.
Informed consent statement: Written informed consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Yu-Quan He, MD, PhD, Chief Doctor, Full Professor, Deputy Director, Department of Cardiology, China-Japan Union Hospital of Jilin University, Jilin Provincial Engineering Laboratory for Endothelial Function and Genetic Diagnosis of Cardiovascular Disease, No. 126 Xiantai Street, Changchun 130031, Jilin Province, China. heyq@jlu.edu.cn
Received: December 12, 2019
Peer-review started: December 12, 2019
First decision: December 12, 2019
Revised: December 31, 2019
Accepted: January 8, 2020
Article in press: January 8, 2020
Published online: February 26, 2020
Core Tip

Core tip: Coronary intervention for bifurcation lesions is still challenging for interventional cardiologists. Left main bifurcation lesions have a higher risk due to the vast blood supply in this area and treatment choice is difficult. Here we report the diagnosis and management of a 42-year-old male patient who had an acute left main myocardial infarction and carina shift during the follow-up coronary intervention. 3D optical coherence tomography facilitated display of the bifurcation geometry. In addition, a “moving” carina due to carina shift and tissue protrusion was also verified by 3D optical coherence tomography.