[Primary stenting of thrombotic occluded main coronary artery in cardiogenic shock].
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.
Weber
F
F
Universität Rostock Klinik und Poliklinik für Innere Medizin Abteilung Kardiologie PF 10 0888 18055 Rostock, Germany.
Placke
J
J
Birken
T
T
Nienaber
Ch A
ChA
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