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Simultaneous kissing stents in acute left main total occlusion complicated with cardiogenic shock
  1. Mochamad Yusuf Alsagaff1,
  2. Dwi Fachrul Octafian Hidayat1 and
  3. Hiroyuki Daida2
  1. 1Department of Cardiology and Vascular Medicine, Airlangga University, Surabaya, East Java, Indonesia
  2. 2Cardiology, Juntendo University School of Medicine, Bunkyo-ku, Tokyo, Japan
  1. Correspondence to Dr Mochamad Yusuf Alsagaff; yusuf_505{at}


We present a case of acute left main bifurcation lesion presenting as very high-risk non-ST elevation acute coronary syndrome. Consequently, an immediate invasive strategy for this complex anatomical lesion in an unstable patient requires an emergent bailout strategy to restore the haemodynamic condition.

Our case shows the simultaneous kissing stents technique in a patient with a true left main bifurcation lesion (Medina 1-1-1) as a strategy to overcome the compromised haemodynamics. This protocol would be an alternative life-saving strategy in an acute setting.

  • interventional cardiology
  • ischaemic heart disease
  • interventional cardiology

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  • Contributors Supervised by MYA. The patient was under the care of MYA in the emergency room. An immediate invasive strategy was done by MYA. The patient was under the care of MYA in the intensive cardiac care and ward. The acquisition of data was done by DFOH. The analysis and interpretation of data were done by MYA and DFOH. The report was written by MYA and DFOH. The report was reviewed by HD.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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