Primary percutaneous coronary intervention in the presence of acute pancreatitis following rupture of Wirsung duct

Autor: Paulo César Gobert Damasceno Campos, Luís Sergio Affonso de André Júnior, Breno de Oliveira Almeida, Artur Berti Ricca, Elias Knobel
Jazyk: English<br />Portuguese
Rok vydání: 2006
Předmět:
Zdroj: Einstein (São Paulo), Vol 4, Iss 3, Pp 225-227 (2006)
Druh dokumentu: article
ISSN: 1679-4508
Popis: We describe the case of a patient who developed acute coronarysyndrome with hemodynamic instability in the presence of acutepancreatitis complicated by rupture of Wirsung duct. Primarypercutaneous coronary intervention of a totally occluded leftanterior descending artery was performed. We considered apathophysiology based on the occurrence of possible coronaryvasoconstriction induced by somatostatin, which was prescribedto this patient, and probable coronary atherosclerotic plaqueinstability mediated by elevated levels of C-reactive protein. Toour knowledge this is the first report of primary percutaneouscoronary intervention in a case of acute pancreatitis with ruptureof Wirsung duct.
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