Survival Following Cardiogenic Shock Caused by Acute Left Main Coronary Artery Total Occlusion

Angiology ◽  
1997 ◽  
Vol 48 (2) ◽  
pp. 163-171 ◽  
Author(s):  
Tomonori Itoh ◽  
Ken'ichi Fukami ◽  
Seizou Oriso ◽  
Jun Umemura ◽  
Jun Nakajima ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Cardiogenic Shock ◽  
Left Main Coronary Artery ◽  
Left Main ◽  
Total Occlusion

scholarly journals A 44 years-old male patient surviving total occlusion of the left main coronary artery (STEMI) accompanied with cardiogenic shock

2020 ◽  
Vol 60 ◽  
pp. 610-613
Author(s):  
Rasheed K. Ibdah ◽  
Nasr Alrabadi ◽  
Sukaina I. Rawashdeh ◽  
Abdullah Al-Ksassbeh ◽  
Amjad Habeb ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Cardiogenic Shock ◽  
Male Patient ◽  
Left Main Coronary Artery ◽  
Left Main ◽  
Total Occlusion

scholarly journals Successful treatment of left main coronary artery total occlusion combined with cardiogenic shock

2019 ◽  
Vol 47 (8) ◽  
pp. 3940-3945 ◽  
Author(s):  
Xing Yu ◽  
Jian-Yi Zheng ◽  
Gui-Ping Zhu
Keyword(s):  
Coronary Artery ◽  
Cardiogenic Shock ◽  
Left Main Coronary Artery ◽  
Coronary Intervention ◽  
Drug Eluting Stent ◽  
Left Main ◽  
Total Occlusion ◽  
Appropriate Treatment ◽  
Percutaneous Coronary ◽  
Drug Eluting

Acute myocardial infarction (AMI) caused by total occlusion of the left main coronary artery (LMCA) is a catastrophic event. However, the clinical features and appropriate treatment of patients with this condition remain unclear. We report a man with total occlusion of the LMCA presenting with AMI combined with cardiogenic shock. He was successfully treated with angioplasty and drug-eluting stent implantation assisted by an intra-aortic balloon pump (IABP). This case suggests that percutaneous coronary intervention may be an optional therapeutic strategy in these patients, and that IABP implantation could improve clinical outcomes. A dominant right coronary artery and enhanced collateral circulation were considered to be key features related to the patient’s survival.

Primary stenting of an unprotected left main coronary artery total occlusion in a patient with acute myocardial infraction and cardiogenic shock

2006 ◽  
Vol 8 (3) ◽  
pp. 172-176 ◽  
Author(s):  
George K. Karavolias ◽  
Panagiota Georgiadou ◽  
Efstathios K. Iliodromitis ◽  
Philip Cokkinos ◽  
Stamatis Adamopoulos ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Cardiogenic Shock ◽  
Left Main Coronary Artery ◽  
Left Main ◽  
Total Occlusion ◽  
Myocardial Infraction ◽  
Primary Stenting

scholarly journals Impact of Percutaneous Coronary Intervention and Implantation of Intra-Aortic Balloon Pump on the Outcome of an Acute Total Obstruction of the Left Main Coronary Artery

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Hamza Hamayel ◽  
Yahya Ismail ◽  
Sajed Majadla ◽  
Yousef Hamshari ◽  
Yunis Daralammouri
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Coronary Artery ◽  
Cardiogenic Shock ◽  
Cardiac Catheterization ◽  
Left Main Coronary Artery ◽  
Coronary Intervention ◽  
Left Main ◽  
Total Occlusion ◽  
Percutaneous Coronary ◽  
St Elevation

Background. Acute total occlusion of the left main coronary artery (LMCA) is a fatal event; most patients die before reaching hospitals. Few of them reach the hospital alive. Revascularization of the LMCA can be achieved by surgical intervention or percutaneous coronary intervention with unknown optimal modality. However, mortality of those patients is very high even with either; few cases reported successful management of acute total occlusion of the LMCA including our patient. Case Presentation. A 56-year-old male patient who is a smoker presented with typical chest pain worsened 2 hours prior to admission. He was hemodynamically stable, but he had respiratory failure due to pulmonary edema. An electrocardiogram showed anterior ST-elevation myocardial infarction. He was given loading doses of dual antiplatelet agents, in addition to respiratory support, then transferred immediately to the cardiac catheterization laboratory. Urgent cardiac catheterization showed total occlusion of the LMCA. Recanalization was done successfully, and a stent was inserted in the LMCA and left anterior descending artery. The patient developed cardiogenic shock during the procedure. An intra-aortic balloon pump (IABP) was applied which improved his hemodynamic status and enhanced his coronary flow. He is clinically improved, there was resolution of ST elevation, and cardiogenic shock gradually resolved. IABP was removed, and the patient was discharged in good general condition. Conclusions. Survival after acute total occlusion of the LMCA is very rare. The good outcome in this patient is attributed to early recognition and timely successful intervention, with good respiratory and hemodynamic support. The surgical and anaesthesia team should be on stand-by until complete revascularization and stabilization of the patient are achieved.

scholarly journals Extrinsic compression of the left main coronary artery: A rare cause of cardiogenic shock

2021 ◽  
Vol 16 (3) ◽  
pp. 714-717
Author(s):  
Takashi Yamamoto ◽  
Kentaro Yamashita ◽  
Hiroaki Hagiwara ◽  
Tomohiro Nakayama ◽  
Akihiro Sakai ◽  
...  
Keyword(s):  
Coronary Artery ◽  
Cardiogenic Shock ◽  
Left Main Coronary Artery ◽  
Left Main ◽  
Extrinsic Compression

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.

Myocardial infarction secondary to acute total occlusion of the left main coronary artery

2021 ◽  
Vol 33 (3) ◽  
pp. 144-148
Author(s):  
Jean-Marc Pernès ◽  
Rémy Cohen ◽  
Sébastien Terrazzoni ◽  
Guillaume Durand-Viel
Keyword(s):  
Myocardial Infarction ◽  
Coronary Artery ◽  
Left Main Coronary Artery ◽  
Left Main ◽  
Total Occlusion

scholarly journals Primary Percoutaneous Coronary Intervention on Unprotected Left Main Coronary Artery with Staged Complex Bifurcational Treatment: A Case Report

2018 ◽  
Vol 0 (0) ◽  
Author(s):  
Ivan Simic ◽  
Vladimir Zdravkovic
Keyword(s):  
Coronary Artery ◽  
Cardiogenic Shock ◽  
Left Main Coronary Artery ◽  
Coronary Intervention ◽  
Complete Revascularization ◽  
Left Main ◽  
Diagonal Branch ◽  
Percutaneous Coronary ◽  
Infarct Related Artery ◽  
Complex Procedure

Abstract We present the case of patient with ST elevation myocardial infarction in cardiogenic shock with primary percutaneous coronary intervention of Left anterior descending coronary artery and Left main coronary artery with staged complex procedure on Left anterior descending/Diagonal branch bifurcation in Culotte manner. Th is case shows that “the simpler, the better” approach of only infarct related artery revascularization may be applied in acute patients with cardiogenic shock and optimal clinical and hemodynamic response on revascularization and intra-aortic balloon pump. But, complete revascularization should be done in staged procedure and later, a control coronary angiography with intravascular ultrasound assistance is mandatory.

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