[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].
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.
Janiak
Bartłomiej
B
Wałbrzyski Ośrodek Kardiologii Interwencyjnej, Szpital Specjalistyczny im. dr. Alfreda Sokołowskiego, ul. A. Sokołowskiego 4, 58-309 Wałbrzych. bartlomiej.janiak@zdrowie.walbrzych.pl
Jakubaszko
Jacek
J
Gorski
Małgorzata
M
Pelczar
Marek
M
Szełemej
Roman
R
Kustrzycki
Wojciech
W
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