Cardiogenic shock due to complete thrombotic occlusion of the left main coronary ostium in a young female.

Complete left coronary system abolition due to thrombotic occlusion of the left main coronary ostium is an unusual presentation of myocardial infarction. Delays in reaching hospital and restoring coronary blood flow are major predictors of survival in cardiogenic shock. This rare case highlights the high mortality rate of cardiogenic shock due to thrombotic occlusion of the left main coronary ostium in spite of all efforts using innovative devices to remove thrombus and achieve adequate coronary and myocardial perfusion.