[Survivor of cardiogenic shock following acute myocardial infarction with Churg-Strauss syndrome: first angiographic documention of coronary recanalization of infarct-related arteries: a case report].
A 42-year-old man was treated under a diagnosis of Churg-Strauss syndrome with predonisolone pulse therapy. Three days later, he developed cardiogenic shock following acute myocardial infarction. Coronary angiography showed total occlusions in three peripheral coronary vessels. Intraaortic balloon pumping was used to maintain hemodynamics and predonisolone pulse therapy was repeated. However, he developed cardiogenic shock again after the second pulse therapy and needed percutaneous cardiopulmonary support and intraaortic balloon pumping. Accordingly, combination therapy of predonisolone and cyclophosphamide was given. He then recovered. Follow-up angiography showed recanalization of the infarct-related arteries.
Kubota
Takeyuki
T
Department of Cardiology, Saitama Cardiovascular and Respiratory Center, Saitama.
Yamaguchi
Junichi
J
Higashitani
Michiaki
M
Matsushima
Hidekazu
H
Sakamoto
Hiroshi
H
Ishikawa
Tetsuya
T
Okada
Hisayuki
H
Enta
Kenji
K
Takizawa
Shinichiro
S
Nakano
Yosuke
Y
Suzuki
Teruhiko
T
Mizuno
Masayuki
M
Tsurusaki
Tetsushi
T
Onoda
Satoru
S
Fuda
Yuji
Y
Muto
Makoto
M
Imai
Kamon
K
Horie
Toshinobu
T
D000328:Adult; D002315:Cardiopulmonary Bypass; D015267:Churg-Strauss Syndrome / Q000150:complications* / Q000628:therapy*; D017023:Coronary Angiography; D003520:Cyclophosphamide / Q000008:administration & dosage; D004359:Drug Therapy, Combination; D005500:Follow-Up Studies; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology* / Q000628:therapy*; D011239:Prednisolone / Q000008:administration & dosage; D020551:Pulse Therapy, Drug; D012770:Shock, Cardiogenic / Q000209:etiology* / Q000628:therapy*; D016896:Treatment Outcome
D003520:Cyclophosphamide; D011239:Prednisolone