| Emergency coronary stenting for complete thrombotic occlusion of an unprotected left main coronary artery in acute myocardial infarction complicated by cardiogenic shock in an octogenarian patient--a case report. | |
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MedLine Citation:
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PMID: 11865840 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This report concerns an 82-year-old white man, who was admitted with cardiogenic shock secondary to an acute anterior myocardial infarction with right bundle branch block requiring an intra-aortic balloon pump for hemodynamic support and mechanical ventilatory support for respiratory distress. An immediate cardiac catheterization with coronary angiography revealed a complete thrombotic occlusion of the left main coronary artery. Prompt stent-supported percutaneous transluminal coronary angioplasty to the occluded left main coronary artery, a critical stenosis of the ostial left anterior descending artery, and the left circumflex coronary artery, allowed for recovery from this life-threatening condition and subsequent discharge from the hospital of this octogenarian patient. It is suggested that in a critical clinical condition with particularly challenging coronary anatomical findings, stent-supported coronary angioplasty can be lifesaving treatment in selected patients with octogenarian status with acute myocardial infarction. |
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Authors:
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M Tariq; R Carroll; I Zabih; R G Stenberg; K M A Hussain |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Angiology Volume: 53 ISSN: 0003-3197 ISO Abbreviation: Angiology Publication Date: 2002 Jan-Feb |
Date Detail:
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Created Date: 2002-02-26 Completed Date: 2002-03-21 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0203706 Medline TA: Angiology Country: United States |
Other Details:
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Languages: eng Pagination: 95-8 Citation Subset: IM |
Affiliation:
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Department of Medicine, Conemaugh Memorial Medical Center, Johnstown, PA 15905, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Angioplasty, Transluminal, Percutaneous Coronary* Blood Vessel Prosthesis Implantation* Bundle-Branch Block / complications, radiography, surgery Coronary Angiography Coronary Disease / complications*, radiography, surgery* Coronary Thrombosis / complications*, radiography, surgery* Coronary Vessels / surgery* Emergency Treatment* Humans Male Myocardial Infarction / complications*, radiography, surgery* Shock, Cardiogenic / etiology*, radiography, surgery* Stents* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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