[Off-pump coronary artery bypass grafting for restenosis after coronary angioplasty in the patient with left main shock syndrome].
A case of left main shock syndrome due to total occlusion of left main trunk was reported. A 65-year-old man with acute myocardial infarction developed cardiogenic shock shortly after admission. An emergency coronary angiogram revealed total occlusion of the left main trunk without collaterals. Immediately, a stent was implanted in the left main trunk and the lesion was successfully improved. However, the left coronary angiogram revealed 90% restenosis of the left main trunk in a coronary angiogram examined 6 months after stent placement. Since the patient suffered from poor cardiac function, off-pump coronary artery bypass grafting (left internal thoracic artery to left descending coronary artery) was successfully performed using an intracoronary shunt. No complications were observed.
Midorikawa
H
H
Cardiovascular Center, Fukushima Daiichi Hospital, Fukushima, Japan.
Hoshino
S
S
Ogawa
T
T
Satou
K
K
Yokoyama
H
H
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D001026:Coronary Artery Bypass / Q000379:methods*; D023903:Coronary Restenosis / Q000628:therapy*; D023921:Coronary Stenosis / Q000628:therapy*; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000628:therapy*; D012770:Shock, Cardiogenic / Q000628:therapy*; D015607:Stents; D013577:Syndrome