title: Bifurcation balloon for left main shock syndrome: facilitating the simultaneous percutaneous reperfusion of the LAD and circumflex.
abstract: Acute occlusion of the left main coronary artery frequently causes cardiogenic shock and, when this occurs with an initial TIMI 0 flow, has an extremely poor prognosis. The use of a bifurcation system has not been described previously in this situation but has advantages that may result in a simpler and quicker solution then other strategies. This case describes a distal LMCA occlusion, 2 weeks post-stenting of the proximal LAD and proximal Cx, where this strategy was successfully used as a bridge to surgery. Such a strategy may be crucially beneficial in this commonly fatal condition.
authors.affiliation: Department of Interventional Cardiology, OLVG, Amsterdam, The Netherlands.
authors.forename: Karen
authors.initials: K
authors.lastname: de Man
authors.forename: Mark
authors.initials: M
authors.lastname: Patterson
authors.forename: Ferdinand
authors.initials: F
authors.lastname: Kiemeneij
mesh_terms: D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D006328:Cardiac Catheterization; D002404:Catheterization / Q000379:methods*; D001026:Coronary Artery Bypass / Q000009:adverse effects / Q000379:methods*; D023903:Coronary Restenosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D003328:Coronary Thrombosis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D003331:Coronary Vessels / Q000503:physiopathology; D004562:Electrocardiography; D004868:Equipment Failure; D017809:Fatal Outcome; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D011183:Postoperative Complications; D011859:Radiography; D019233:Retreatment; D018570:Risk Assessment; D012770:Shock, Cardiogenic / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D015607:Stents / Q000009:adverse effects*