Application of Modified Flower Petal in Side Branch of Acute Myocardial Infarction Patient: REVERSE Modified Flower Petal

Abstract

Introduction: Concerning the poor clinical outcomes in cases of acute myocardial infarction (AMI) with bifurcation lesions undergoing primary percutaneous coronary intervention (PCI), we described a successful application of modified flower petal technique and called it the REVERSE modified flower petal technique in a patient with AMI. Case Presentation: A 56-years-old man who suffered from chest pain was admitted to the emergency ward. After clinical examination, the primary diagnosis was acute anterolateral MI. Therefore, PCI on left anterior dimension (LAD) and diagonal arteries using modified flower petal stenting was performed in the side branch, which we called it REVERSE modified flower petal. Conclusions: Modified flower petal stenting was performed by the REVERSE mechanism as described in the report of the new intervention (2.5 × 18). The follow-up after 24 months by the exercise stress test using the Bruce protocol supported the success of the intervention.