Article Details

Primary percutaneous coronary intervention (PCI) is recommended in the majority of cases of ST-segment myocardial infarction (STEMI). Nevertheless, failed PCI remains not very uncommon, yet it is associated with unfavorable long-term clinical outcomes. Management of the failed PCI may include emergency coronary artery bypass grafting (CABG) or the administration of either systemic or intracoronary fibrinolysis. However, clinical utility and benefits for the patients treated with either option are uncertain. Herein, we present a case report of a patient admitted to the Department of Cardiology due to lateral wall STEMI, after cardiac arrest and successful cardiopulmonary resuscitation with coronary anatomy not amenable to PCI and contraindications to fibrinolysis as a clinical scenario with potentially no good therapeutic option.