Key result
Prompt percutaneous transluminal coronary angioplasty with sirolimus-stent deployment in the LMCA allowed for an uneventful recovery and discharge in a patient with cardiogenic shock.
Case Report (n=1)
Primary stenting with a sirolimus-eluting stent can be a successful life-saving intervention for acute total occlusion of an unprotected left main coronary artery complicated by cardiogenic shock.
May support emergency LMCA stenting in cardiogenic shock; hypothesis-generating and requires prospective validation.
Acute total occlusion of the left main coronary artery (LMCA) is a rare angiographic finding with very poor prognosis. We report a case of a 39-year-old man who presented with pulmonary edema and cardiogenic shock due to an acute anterior myocardial infarction. Coronary angiography, which was performed under the support of an intra-aortic balloon pump, revealed total occlusion of the LMCA. Prompt and successful percutaneous transluminal coronary angioplasty with sirolimus-stent deployment in the LMCA allowed for an uneventful recovery and discharge of the patient.
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Karavolias et al. (2006) conducted a case report in Acute anterior myocardial infarction and cardiogenic shock (n=1). Percutaneous transluminal coronary angioplasty with sirolimus-stent deployment was evaluated on Recovery and discharge. Prompt percutaneous transluminal coronary angioplasty with sirolimus-stent deployment in the LMCA allowed for an uneventful recovery and discharge in a patient with cardiogenic shock.
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