Concurrent Percutaneous Intervention for Simultaneous Acute Myocardial Infarction and Acute Bifurcated Graft Thrombosis of Lower Extremities

Acute limb ischemia (ALI) is a medical emergency associated with high morbidity, significant disability, and life-threatening complications. Acute myocardial infarction (AMI) with concurrent ALI is a challenging clinical condition associated with adverse events including mortality and requires immediate simultaneous reperfusion. We present the case of a patient with a history of bifurcated graft operation due to abdominal aortic aneurysm six years ago who presented with inferior ST-elevation AMI and acute bifurcated graft thrombosis of the lower extremities causing ALI. The patient was successfully treated with simultaneous percutaneous coronary and peripheral revascularization. We emphasize that AMI and ALI may occur simultaneously, and concurrent percutaneous revascularization can be a safe and feasible treatment strategy in such patients.