Combined therapy with percutaneous coronary intervention and percutaneous aortic valvuloplasty under mechanical support for an elderly patient with cardiogenic shock.
Percutaneous aortic valvuloplasty is reportedly a useful tool for the management of critical and severe aortic stenosis with cardiogenic shock. However, early percutaneous coronary intervention for cardiogenic shock is beneficial for elderly patients with acute myocardial infarction. We describe a patient with critical aortic stenosis who presented with severe coronary stenosis of the left main trunk and the ostium of the right coronary artery. We performed percutaneous coronary intervention and percutaneous aortic valvuloplasty under intra-aortic balloon pump and percutaneous cardiopulmonary support. After these procedures, the cardiogenic shock was reversed, and the patient could be weaned from both intra-aortic balloon pump support and percutaneous cardiopulmonary support.
Kato
Koji
K
Intensive and Cardiac Care Unit, Department of Internal Medicine, Nippon Medical School, Tokyo, Japan. katokoji@nms.ac.jp
Sato
Naoki
N
Fujita
Nobuhiko
N
Yamamoto
Takeshi
T
Iwasaki
Yu-Ki
YK
Yodogawa
Kenji
K
Takayama
Morimasa
M
Tanaka
Keiji
K
Takano
Teruo
T
D000369:Aged, 80 and over; D015906:Angioplasty, Balloon, Coronary; D001021:Aortic Valve / Q000601:surgery*; D001024:Aortic Valve Stenosis / Q000150:complications / Q000628:therapy; D002315:Cardiopulmonary Bypass; D023921:Coronary Stenosis / Q000150:complications / Q000628:therapy; D005260:Female; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D012770:Shock, Cardiogenic / Q000209:etiology* / Q000628:therapy*; D016896:Treatment Outcome