title: [Primary stenting of thrombotic occluded main coronary artery in cardiogenic shock].
abstract: Acute left main coronary artery (LMCA) occlusion is associated with a high mortality rate. The majority of patients with this clinical condition die suddenly or from cardiogenic shock. We report a case of cardiogenic shock resulting from acute main coronary occlusion. Emergency cardiac catheterization was performed and coronary angiography showed a totally occluded LMCA. Prompt revascularization by means of primary LMCA stenting was successful and the patient was discharged 16 days later without neurological deficit or clinical signs of heart failure. We suggest that the rapid coronary angiography followed by angioplasty and primary stent implantation was instrumental in saving this patient's life.
authors.affiliation: Universität Rostock Klinik und Poliklinik für Innere Medizin Abteilung Kardiologie PF 10 0888 18055 Rostock, Germany.
authors.forename: F
authors.initials: F
authors.lastname: Weber
authors.forename: J
authors.initials: J
authors.lastname: Placke
authors.forename: T
authors.initials: T
authors.lastname: Birken
authors.forename: Ch A
authors.initials: ChA
authors.lastname: Nienaber
mesh_terms: D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000000981:diagnostic imaging / Q000628:therapy*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000175:diagnosis; D012770:Shock, Cardiogenic; D015607:Stents; D013997:Time Factors