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Successful primary percutaneous coronary intervention in a centenarian patient with acute myocardial infarction

Sukru Aksoy1, Yalcïn Velibey1, Bayram Koroglu1

  • 1Siyami Ersek Thoracic and Cardiovascular Surgery Centre, Training and Research Hospital, Department of Cardiology, Istanbul, Turkey.

Cardiovascular Journal of Africa
|March 15, 2014
PubMed

Insights

This case report details the successful primary percutaneous coronary intervention (PCI) for acute myocardial infarction in a 104-year-old patient. It highlights the feasibility of advanced cardiac procedures in the very elderly.

Area of Science:

  • Cardiology
  • Geriatric Medicine
  • Interventional Cardiology

Background:

  • Acute myocardial infarction (AMI) poses significant risks, especially in the elderly population.
  • Limited data exists on the management and outcomes of AMI in centenarian patients.

Observation:

  • A 104-year-old male presented with chest pain and ST-segment elevation myocardial infarction.
  • Emergency coronary angiography revealed thrombotic stenosis in the proximal left anterior descending (LAD) artery.

Findings:

  • Successful primary percutaneous coronary intervention (PCI) involving balloon angioplasty and stenting of the LAD lesion was performed.
  • The procedure was technically successful, with no immediate complications reported.

Implications:

  • This case demonstrates the feasibility and potential success of primary PCI in centenarian patients with AMI.
  • Further research is warranted to establish best practices for managing AMI in this unique demographic.

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