Document Detail


Combined therapy with percutaneous coronary intervention and percutaneous aortic valvuloplasty under mechanical support for an elderly patient with cardiogenic shock.
MedLine Citation:
PMID:  16790984     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Percutaneous aortic valvuloplasty is reportedly a useful tool for the management of critical and severe aortic stenosis with cardiogenic shock. However, early percutaneous coronary intervention for cardiogenic shock is beneficial for elderly patients with acute myocardial infarction. We describe a patient with critical aortic stenosis who presented with severe coronary stenosis of the left main trunk and the ostium of the right coronary artery. We performed percutaneous coronary intervention and percutaneous aortic valvuloplasty under intra-aortic balloon pump and percutaneous cardiopulmonary support. After these procedures, the cardiogenic shock was reversed, and the patient could be weaned from both intra-aortic balloon pump support and percutaneous cardiopulmonary support.
Authors:
Koji Kato; Naoki Sato; Nobuhiko Fujita; Takeshi Yamamoto; Yu-Ki Iwasaki; Kenji Yodogawa; Morimasa Takayama; Keiji Tanaka; Teruo Takano
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of Nihon Medical School = Nihon Ika Daigaku zasshi     Volume:  73     ISSN:  1345-4676     ISO Abbreviation:  J Nihon Med Sch     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-06-22     Completed Date:  2006-09-19     Revised Date:  2011-08-01    
Medline Journal Info:
Nlm Unique ID:  100935589     Medline TA:  J Nihon Med Sch     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  158-63     Citation Subset:  IM    
Affiliation:
Intensive and Cardiac Care Unit, Department of Internal Medicine, Nippon Medical School, Tokyo, Japan. katokoji@nms.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Aged, 80 and over
Angioplasty, Balloon, Coronary*
Aortic Valve / surgery*
Aortic Valve Stenosis / complications,  therapy
Cardiopulmonary Bypass*
Coronary Stenosis / complications,  therapy
Female
Humans
Intra-Aortic Balloon Pumping
Shock, Cardiogenic / etiology*,  therapy*
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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