title: A survival case of cardiogenic shock due to left main coronary artery myocardial infarction: successful cooperation with on-site percutaneous coronary intervention and helicopter emergency medical service.
abstract: A 54-year-old man was referred to a local hospital, located about 90 km from our hospital, with cardiogenic shock due to left main coronary artery infarction (LMCA-MI). Percutaneous coronary intervention (PCI) was performed under intra-aortic balloon pumping (IABP) support, but resulted in insufficient reperfusion and his condition worsened. The helicopter emergency medical service (HEMS) rapidly transported the patient to our hospital. After percutaneous cardio-pulmonary support system (PCPS) insertion, PCI could establish the coronary flow. A series of intensive therapies saved the patient. The cooperation of medical and emergency service system following revascularization and intensive care saved the patient with LMCA-MI accompanied by cardiogenic shock.
authors: Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan.
authors: Yuichi
authors: Y
authors: Kimura
authors: Keisuke
authors: K
authors: Ohba
authors: Hitoshi
authors: H
authors: Sumida
authors: Kenichi
authors: K
authors: Tsujita
authors: Toyoki
authors: T
authors: Hirose
authors: Hideki
authors: H
authors: Maruyama
authors: Shiro
authors: S
authors: Hirai
authors: Koichi
authors: K
authors: Kaikita
authors: Seiji
authors: S
authors: Hokimoto
authors: Seigo
authors: S
authors: Sugiyama
authors: Hisao
authors: H
authors: Ogawa
mesh_terms: D017732:Air Ambulances; D017023:Coronary Angiography; D004562:Electrocardiography; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D062645:Percutaneous Coronary Intervention; D012770:Shock, Cardiogenic / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D016896:Treatment Outcome