Culotte Stenting in the Acute Myocardial Infarction with Distal Left Main Thrombosis: A Case Report

Background: The invasive treatment approach to unprotected distal left main bifurcation lesions (UDLM-BL) is a difficult decision and requires experience in this regard. We present the successfully interventional treatment with culotte technique of UDLMBL of the patient presenting with acute ST-elevation myocardial infarction (STEMI).Case summary: A 66-year-old male patient admitted with typical chest pain, his ECG showed acute infero--posterolateralmyocardial infarction. Coronary angiography revealed distal LM true bifurcation lesion. The successful culotte technique was performed. The patient was followed without events and discharged in a good condition.Conclusion: The culotte technique can be performed in the setting of ST-elevation. The treatment method in the approach to UDLMBL in acute STEMI may vary depending on the experience of the centre and the choice of operator.