Primary angioplasty for acute myocardial infarction resulting from the simultaneous occlusion of two major coronary arteries.

Primary angioplasty for acute myocardial infarction is frequently performed. Not uncommonly, more than one occluded artery may be present. Usually only one is an acute event, the others being chronic occlusions. We encountered a patient who presented with two simultaneous occlusions; both were successfully recanalized. We discuss some observations that assisted us in devising our treatment strategy.