Cardiogenic shock due to acute left main coronary artery occlusion: successful treatment with primary angioplasty.
A 56-year-old patient was admitted with cardiogenic shock due to an acute anterior myocardial infarction. Cardiac catheterization with coronary angiography disclosed a thrombotic occlusion of the left main coronary artery. Prompt mechanical recanalization of the infarct-related artery with multiple stent implantations associated with prolonged circulatory and respiratory supports allowed for a partial recovery of the left ventricular function and the discharge of the patient.
Sganzerla
P
P
Department of Anesthesiology, Cliniche Gavazzeni, Bergamo, Italy. psganzerla@clinichegavazzeni.bg.it
Passaretti
B
B
Ceriani
R
R
Bortone
F
F
D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000150:complications / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D012770:Shock, Cardiogenic / Q000209:etiology / Q000628:therapy*; D015607:Stents