Why the study?
Does prompt left main coronary angioplasty followed by emergency coronary bypass surgery improve survival in a patient with total occlusion of a severe left main coronary artery stenosis and cardiogenic shock?
Does prompt left main coronary angioplasty followed by emergency coronary bypass surgery improve survival in a patient with total occlusion of a severe left main coronary artery stenosis and cardiogenic shock?
Prompt left main coronary angioplasty followed by emergency CABG can be a life-saving strategy for acute left main occlusion with cardiogenic shock during catheterization.
May support hybrid revascularization in acute left main occlusion with shock; leaves open survival benefit without controlled data.
During urgent cardiac catheterization total occlusion of a severe left main coronary artery stenosis occurred, leading to profound cardiogenic shock. The patient survived, after prompt left main coronary angioplasty was performed, followed by emergency coronary bypass surgery.
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Groves et al. (1989) studied this question.
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