A rare case of double infarction treated with primary percutaneous coronary intervention

Coronary artery disease is the leading cause of mortality and morbidity in developing as well as developed countries, and the acute presentation occurs in the form of ST-elevation myocardial infarction (STEMI) or unstable angina (UA)/non-ST-elevation myocardial infarction (NSTEMI). The process of acute myocardial infarction begins with an anatomic or functional obstruction in the coronary vascular bed, which results in regional myocardial ischemia and, if the ischemia persists, in infarction. Depending on the involved vessels, e.g., left anterior descending (LAD), left circumflex (LCx) or right coronary artery (RCA), it results in anterior wall myocardial infarction (AWMI), inferior wall myocardial infarction (IWMI), or right ventricular myocardial infarction (RVMI), etc. Acute myocardial infarction (AMI) involving two or more culprit lesions at the same time, known as double or combined infarction, is an extremely rare event with a grave prognosis [1, 2]. Here, we describe a case of a patient with acute myocardial infarction due to total occlusion of the left anterior descending and right coronary artery who presented with cardiogenic shock.