title: [Complete occlusion of the left main coronary artery complicated by cardiac arrest and acute massive pulmonary embolism with a favourable outcome--a case report].
abstract: A case of a 53-year-old male with acute myocardial infarction complicated by cardiac arrest is presented. Due to neurological complications which were transient, the patient was not selected for primary angioplasty. Three days later his condition significantly improved and the patient was transferred to internal ward were he developed cardiogenic shock due to a massive pulmonary embolism. Thrombolysis and low molecular weight heparin were effective and the patient did well during subsequent hospitalisation period. Coronary angiography was performed 4 weeks from hospital admission and revealed a total left main coronary occlusion with good collateral circulation from the right coronary artery. Finally, the patient underwent successful CABG.
authors.affiliation: Oddział Kardiologii, Szpital Wojewódzki nr 2, ul. Lwowska 60, 35-301 Rzeszów. milosz.marc@op.pl
authors.forename: Miłosz
authors.initials: M
authors.lastname: Marć
authors.forename: Rafał
authors.initials: R
authors.lastname: Kurianowicz
authors.forename: Piotr
authors.initials: P
authors.lastname: Wańczura
authors.forename: Janusz
authors.initials: J
authors.lastname: Bak
authors.forename: Zbigniew
authors.initials: Z
authors.lastname: Rudnicki
authors.forename: Mirosław
authors.initials: M
authors.lastname: Olszewski
authors.forename: Maciej
authors.initials: M
authors.lastname: Weglarz
mesh_terms: D001026:Coronary Artery Bypass / Q000379:methods; D023921:Coronary Stenosis / Q000150:complications* / Q000473:pathology / Q000601:surgery*; D004562:Electrocardiography; D006323:Heart Arrest / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011655:Pulmonary Embolism / Q000209:etiology*; D016896:Treatment Outcome