Four days of percutaneous cardiopulmonary support and sixteen days of percutaneous left atrium-artery bypass: a case report of survival of acute myocardial infarction with cardiogenic shock and severe rhabdomyolysis [corrected].
A severe acute myocardial infarction patient with cardiogenic shock was successfully treated with percutaneous coronary intervention, percutaneous cardiopulmonary support (PCPS), and percutaneous left atrium-artery bypass (LAAB). LAAB assisted the patient's circulation sufficiently, with few complications. The patient recovered from shock after LAAB. High fever and elevation of CPK disappeared after removal of the intra-aortic balloon pump (IABP). Staphylococcus epidermidis was detected in the culture of the IABP tip later. A small left atrium-right atrium shunt remained for ten months after LAAB removal and disappeared naturally. The patient was discharged 7 months after his initial myocardial infarction. He has been well for over one year since discharge without the need for re-hospitalization [corrected]
Yamamoto
Yoshiyuki
Y
Department of Medicine and Molecular Science, Division of Frontier Medical Science Programs for Biomedical Research, Graduate School of Biomedical Sciences, Hiroshima University, Hiroshima, Japan.
Sueda
Takashi
T
Okamoto
Mitsunori
M
D015906:Angioplasty, Balloon, Coronary; D001918:Brachytherapy; D017023:Coronary Angiography; D023903:Coronary Restenosis / Q000628:therapy; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D003330:Coronary Vessel Anomalies / Q000150:complications*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology* / Q000628:therapy*; D019233:Retreatment; D015607:Stents; D016896:Treatment Outcome