Cardiogenic shock due to unprotected left main coronary artery thrombosis in the era of mechanical circulatory support

2011 ◽  
Vol 148 (3) ◽  
pp. 394-396 ◽  
Author(s):  
Gilles Barone-Rochette ◽  
Gérald Vanzetto ◽  
Arnaud Fluttaz ◽  
Stéphanie Marlière ◽  
Hélène Bouvaist ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Cardiogenic Shock ◽  
Mechanical Circulatory Support ◽  
Left Main Coronary Artery ◽  
Circulatory Support ◽  
Left Main ◽  
Artery Thrombosis ◽  
Coronary Artery Thrombosis

Salvage myocardial revascularisation in spontaneous left main coronary artery dissection with cardiogenic shock – the role of mechanical circulatory support

Perfusion ◽  
2016 ◽  
Vol 32 (2) ◽  
pp. 171-173 ◽  
Author(s):  
Ashok Padukone ◽  
Ahmed K. Sayeed ◽  
Nandor Marczin ◽  
Diana García Sáez ◽  
Bartlomiej Zych ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Cardiogenic Shock ◽  
Mechanical Circulatory Support ◽  
Left Main Coronary Artery ◽  
Artery Bypass ◽  
Myocardial Revascularization ◽  
Circulatory Support ◽  
Artery Dissection ◽  
Left Main ◽  
Coronary Artery Dissection

Spontaneous left main coronary artery dissection is a rare cause of acute coronary events or sudden cardiac death, constituting less than 1% of all epicardial coronary artery dissections. It is often fatal and is mostly recognized at post-mortem examination in young victims of sudden death. More than 70% of the reported cases occurred in women, particularly during pregnancy and the peripartum period and those on oral contraceptives. The clinical presentation is highly variable and prognosis varies widely, depending predominantly on the speed of diagnosis. Treatment options include medical therapy, revascularization with coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI) and mechanical circulatory support in cases of cardiogenic shock. We report a case of spontaneous dissection of the left main stem coronary artery, with extension into the left coronary territory, which occurred in a 41-year-old lady, complicated by profound cardiogenic shock requiring recovery with extracorporeal mechanical circulatory support after salvage myocardial revascularization.

How should I treat a massive left main coronary artery thrombosis in a 49-year-old woman in the context of cardiogenic shock?

2016 ◽  
Vol 11 (14) ◽  
pp. E1687-E1690
Author(s):  
Alfredo Marchese ◽  
Valeria Paradies ◽  
Marco Basile ◽  
Elia Iorio ◽  
Angela Palmiotto ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Cardiogenic Shock ◽  
Left Main Coronary Artery ◽  
Left Main ◽  
Artery Thrombosis ◽  
Coronary Artery Thrombosis

scholarly journals Acute left main coronary artery thrombosis due to cocaine use

2010 ◽  
Vol 5 (1) ◽  
Author(s):  
Efstratios Apostolakis ◽  
Grigorios Tsigkas ◽  
Nikolaos G Baikoussis ◽  
Ioanna Koniari ◽  
Dimitrios Alexopoulos
Keyword(s):  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Left Main ◽  
Cocaine Use ◽  
Artery Thrombosis ◽  
Coronary Artery Thrombosis
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