Rare survival in a patient with severe complications of acute myocardial infarction: a case report.
A 50-year-old man presented with acute myocardial infarction. Coronary angiography showed the left anterior descending artery (segment 6) was totally occluded. Direct percutaneous transluminal coronary angioplasty was performed, but a distal embolism occurred by the procedure. Consequently, he suffered cardiogenic shock and sustained ventricular tachycardia/fibrillation which exacerbated his condition. Finally, the patient was successfully treated with catheter ablation and cryosurgery to control the incessant ventricular arrhythmias, and partial left ventricular volume reduction and coronary artery bypass grafting to improve contractile performance. His left ventricular contractility did not improve, but the incessant ventricular arrhythmias could be controlled. His condition remarkably improved and he was discharged on foot. This patient with severe complications of acute myocardial infarction showed unusually good response and recovery.
Takama
Noriaki
N
Medicine & Biological Science, Gunma University Graduate School of Medicine, Maebashi, Gunma. goritakama@db3.so-net.ne.jp
Hoshizaki
Hiroshi
H
Naito
Shigeto
S
Oshima
Shigeru
S
Taniguchi
Koichi
K
Kurabayashi
Masahiko
M
D017115:Catheter Ablation; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications* / Q000601:surgery; D003452:Cryosurgery; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D012770:Shock, Cardiogenic / Q000209:etiology*; D013318:Stroke Volume; D017180:Tachycardia, Ventricular / Q000209:etiology / Q000601:surgery; D014693:Ventricular Fibrillation / Q000209:etiology / Q000601:surgery