title: [Recent myocardial infarction, cardiogenic shock and unsuccessful coronary angioplasty--the pattern of cooperation between a centre without on-site surgical back-up and a distantly located clinical cardiosurgery centre].
abstract: The case of a 66-year-old male with acute myocardial infarction (AMI) complicated by cardiogenic shock is presented. Because of failed primary PCI, after stabilisation of ischaemia and haemodynamics by medication and IABP he was transferred to a distantly located cardiosurgery unit. This patient underwent successful emergency CABG on the second day after infarction. The problem of transporting a patient with AMI and cardiogenic shock to a distant site and the problem of emergency CABG in such high-risk patients is discussed.
authors: Wałbrzyski Ośrodek Kardiologii Interwencyjnej, Szpital Specjalistyczny im. dr. Alfreda Sokołowskiego, ul. A. Sokołowskiego 4, 58-309 Wałbrzych. bartlomiej.janiak@zdrowie.walbrzych.pl
authors: Bartłomiej
authors: B
authors: Janiak
authors: Jacek
authors: J
authors: Jakubaszko
authors: Małgorzata
authors: M
authors: Gorski
authors: Marek
authors: M
authors: Pelczar
authors: Roman
authors: R
authors: Szełemej
authors: Wojciech
authors: W
authors: Kustrzycki
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D001026:Coronary Artery Bypass; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000601:surgery / Q000628:therapy*; D012770:Shock, Cardiogenic / Q000209:etiology*; D017211:Treatment Failure; D016896:Treatment Outcome