[Acute traumatic myocardial infarction with cardiogenic shock in severe polytrauma--a case report].
A 41-year-old man suffered severe polytrauma and developed a traumatic myocardial infarction with cardiogenic shock. Thrombolysis as well as coronary bypass grafting was contraindicated due to accompanying injuries. An attempted early coronary revascularization by percutaneous transluminal coronary angioplasty (PTCA) failed due to dissection of the left interventricular coronary artery. Treatment of cardiac insufficiency was complicated by intraabdominal haemorrhage enforcing emergency laparotomy. Intraaortic balloon counterpulsation proved to be efficient in supporting circulation in these circumstances. The case report documents the practicability and importance of treating both myocardial ischaemia and attending injuries in an equivalent and coordinated manner in traumatic myocardial infarction.
Rohe
G
G
Klinik und Poliklinik für Anästhesiologie und Intensivmedizin, Ernst-Moritz-Arndt-Universität Greifswald.
Feyerherd
F
F
Möx
B
B
Hachenberg
T
T
D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D004562:Electrocardiography; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D008297:Male; D009104:Multiple Trauma / Q000473:pathology*; D009203:Myocardial Infarction / Q000209:etiology* / Q000473:pathology; D009204:Myocardial Revascularization; D012770:Shock, Cardiogenic / Q000209:etiology* / Q000473:pathology