{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T18:32:41Z","timestamp":1786559561724,"version":"build-2736575974"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:00:00Z","timestamp":1775952000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,4,12]],"date-time":"2026-04-12T00:00:00Z","timestamp":1775952000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Cathet Cardio Intervent"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Despite its rarity, acute occlusion of the left main coronary artery is associated with an exceedingly high mortality rate. This report describes a critical case of acute myocardial infarction\n                    <jats:bold>(<\/jats:bold>\n                    AMI) caused by acute total occlusion of the left main (LM) artery, complicated by a chronic total occlusion (CTO) of the proximal right coronary artery (RCA). A 55\u2010year\u2010old Chinese male with hypertension and a heavy smoking history presented with sudden chest pain. The initial electrocardiogram (ECG) showed ST\u2010segment elevation in leads V1\u2013V6 and aVR, indicative of anterior wall AMI, and the patient was in cardiogenic shock. Emergency coronary angiography revealed total occlusion of the LM artery and a CTO of the proximal RCA. Primary percutaneous coronary intervention (PCI) was successfully performed on the LM artery, with three stents implanted to restore TIMI grade 3 flow. An intra\u2010aortic balloon pump (IABP) was inserted for circulatory support. Post\u2010procedurally, the patient experienced ventricular fibrillation but was successfully resuscitated. The hospital course was complicated by acute renal failure, gastrointestinal bleeding, and severe sepsis. After 55 days of intensive care, the patient was discharged with marked clinical improvement, albeit with severely impaired left ventricular function (ejection fraction 25%). The patient survived at the 6\u2010month follow\u2010up.\n                  <\/jats:p>","DOI":"10.1002\/ccd.70624","type":"journal-article","created":{"date-parts":[[2026,4,13]],"date-time":"2026-04-13T04:49:15Z","timestamp":1776055755000},"page":"6-11","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Successful Percutaneous Revascularization for Acute Myocardial Infarction From Left Main Occlusion and Concomitant Right Coronary Artery Chronic Total Occlusion: A Case Report"],"prefix":"10.1002","volume":"108","author":[{"given":"Zhipeng","family":"Zhou","sequence":"first","affiliation":[{"name":"Department of Cardiology, Affiliated Jinhua Hospital Zhejiang University School of Medicine Jinhua China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanlei","family":"He","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Affiliated Jinhua Hospital Zhejiang University School of Medicine Jinhua China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yibin","family":"Pan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Affiliated Jinhua Hospital Zhejiang University School of Medicine Jinhua China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8695-2326","authenticated-orcid":false,"given":"Juncang","family":"Duan","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Affiliated Jinhua Hospital Zhejiang University School of Medicine Jinhua China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,12]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.eurheartj.a060555"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2011.02.016"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-18-0896"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2009.08.024"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcin.2017.12.005"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.4244\/EIJ-D-17-00451"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1093\/ehjacc\/zuab041"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.28329"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200009283431303"},{"key":"e_1_2_5_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jjcc.2023.04.003"},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaccas.2021.02.014"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2011.02.050"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.936687"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/2048872616683524"},{"issue":"13","key":"e_1_2_5_16_1","first-page":"e771","article-title":"2025 ACC\/AHA\/ACEP\/NAEMSP\/SCAI Guideline for the Management of Patients With Acute Coronary Syndromes: A Report of the American College of Cardiology\/American Heart Association Joint Committee on Clinical Practice Guidelines","volume":"151","author":"Rao S. 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