Survival following cardiogenic shock caused by acute left main coronary artery total occlusion. A case report and review of the literature.
The authors describe a fifty-five-year-old Japanese man with an acute extensive anterior myocardial infarction associated with a total occlusion of the left main coronary artery. The patient suffered cardiogenic shock and was treated successfully with rescue percutaneous transluminal coronary angioplasty and an intraaortic balloon pump (IABP) after unsuccessful intracoronary thrombolysis. Ten days after admission, he was weaned from IABP, and recovery-phase coronary angiography revealed no significant coronary artery stenosis and an ejection fraction of 32% by left ventriculography. The patient was discharged from the hospital without any ischemic findings.
Itoh
T
T
Second Department of Internal Medicine, Iwate Prefecture Fukuoka Hospital, Japan.
Fukami
K
K
Oriso
S
S
Umemura
J
J
Nakajima
J
J
Obonai
H
H
Hiramori
K
K
D015906:Angioplasty, Balloon, Coronary; D001157:Arterial Occlusive Diseases / Q000150:complications*; D017023:Coronary Angiography; D003327:Coronary Disease / Q000150:complications*; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000503:physiopathology; D010960:Plasminogen Activators / Q000627:therapeutic use; D012770:Shock, Cardiogenic / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D013794:Thallium Radioisotopes; D015912:Thrombolytic Therapy; D010959:Tissue Plasminogen Activator / Q000627:therapeutic use; D015899:Tomography, Emission-Computed, Single-Photon; D017211:Treatment Failure
D013794:Thallium Radioisotopes; D010960:Plasminogen Activators; D010959:Tissue Plasminogen Activator