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Left main minimal plaque burden complicated by an acute massive thrombosis: diagnostic and therapeutic strategies

To the Editor. Acute coronary syndrome as a result of left main coronary artery (LMCA) occlusion is a catastrophic event associated with poor prognosis and high in-hospital mortality. It usually manifests itself as an acute myocardial infarction with cardiogenic shock and/or fatal arrhythmias. This circumstance is rarely observed, since most affected patients die before seeking medical attention, so data on the precise incidence of acute LMCA thrombosis are limited.