Key result
Percutaneous cardiopulmonary support (PCPS) successfully stabilized hemodynamics and allowed survival to hospital discharge in two patients with cardiogenic shock complicating acute myocardial infarction due to left main coronary artery occlusion.
Case Report (n=2)
No
Early use of percutaneous cardiopulmonary support (PCPS) may be life-saving in patients with cardiogenic shock complicating acute myocardial infarction due to left main coronary artery occlusion.
PCPS may stabilize left main AMI shock; hypothesis-generating and should not change practice without prospective data.
Two cases of acute myocardial infarction due to an occlusion of the left main coronary artery (LMCA) are presented. Their cardiogenic shock was successfully treated with percutaneous cardiopulmonary support (PCPS), in addition to reperfusion therapy and an intraaortic balloon pump. The 2 patients were able to be weaned from PCPS and discharged from hospital. It is suggested that the early use of PCPS may be life-saving in patients with myocardial infarction due to the occlusion of the LMCA who have progressed to cardiogenic shock.
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Yuda et al. (1998) conducted a case report in Acute myocardial infarction due to occlusion of the left main coronary artery complicated by cardiogenic shock (n=2). Percutaneous cardiopulmonary support (PCPS) was evaluated on Survival to hospital discharge. Percutaneous cardiopulmonary support (PCPS) successfully stabilized hemodynamics and allowed survival to hospital discharge in two patients with cardiogenic shock complicating acute myocardial infarction due to left main coronary artery occlusion.
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