A 44 years-old male patient surviving total occlusion of the left main coronary artery (STEMI) accompanied with cardiogenic shock
| Autor: | Rasheed K. Ibdah, Sukaina I. Rawashdeh, Abdullah Al-Ksassbeh, Nasr Alrabadi, Emad hijazi, Amjad Habib |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry Cardiogenic shock Case Report General Medicine medicine.disease 03 medical and health sciences surgical procedures operative 0302 clinical medicine medicine.anatomical_structure Male patient 030220 oncology & carcinogenesis Internal medicine Circulatory system Occlusion Conventional PCI medicine Cardiology 030211 gastroenterology & hepatology Surgery cardiovascular diseases Myocardial infarction Thrombus business Artery |
| Zdroj: | Annals of Medicine and Surgery |
| ISSN: | 2049-0801 |
| DOI: | 10.1016/j.amsu.2020.11.062 |
| Popis: | Introduction Thrombus occlusion of the left main coronary artery (LMCA) is a poorly prognostic condition that is commonly associated with mortality especially when complicated with cardiogenic shock. Presentation of case In this report, we presented a case for 44 years-old male patient who is not known to have ischemic heart disease. He was transferred from a peripheral hospital for emergency percutaneous coronary intervention (PCI) after presenting with anterior ST-elevation myocardial infarction (STEMI) complicated with cardiogenic shock. Discussion The PCI revealed complete occlusion of the LMCA with a thrombus which was stented and the patient regain his cardiovascular stability. The patient survived this complete occlusion that was complicated with cardiogenic shock giving the quick intervention with the PCI and the use of the circulatory support devices. Conclusion The PCI procedure with the intra-aortic balloon pump should be available and offered early for patients with STEMI complicated with cardiogenic shock. This could be very critical in increasing the survival rates for those patients. Highlights • A case of a patient who survived a complete LMCA occlusion. • Total LM occlusion often associated with lifethretining arrhythmia. • A Primary Percutaneous Coronary Intervention with intra-aortic balloon pump should be available and offered early for patients with cardiogenic shock. |
| Databáze: | OpenAIRE |
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