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

A Case Report and Review of the Literature

Ken'ichi Fukami, MD

Seizou Oriso, MD

Jun Umemura, MD

Jun Nakajima, MD

Hisato Obonai, MD

Katsuhiko Hiramori, MD

Ken'ichi Fukami, MD

The Second Department of Internal Medicine Iwate Medical University 19-1 Uchimaru, Morioka City Iwate, 020, Japan

The authors describe a fifty-five-year-old Japanese man with an acute extensive anterior myocardial infarction associated with a total occlusion of the left main coronary artery. The patient suffered cardiogenic shock and was treated successfully with rescue percu taneous transluminal coronary angioplasty and an intraaortic balloon pump (IABP) after unsuccessful intracoronary thrombolysis. Ten days after admission, he was weaned from IABP, and recovery-phase coronary angiography revealed no significant coronary artery stenosis and an ejection fraction of 32% by left ventriculography. The patient was discharged from the hospital without any ischemic findings.

Angiology, Vol. 48, No. 2, 163-171 (1997)
DOI: 10.1177/000331979704800210


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