Document Detail

A case of unprotected left main coronary stenosis rescued by directional coronary atherectomy as a last resort.
MedLine Citation:
PMID:  7658617     Owner:  NLM     Status:  MEDLINE    
The prognosis of left main coronary stenosis complicating cardiogenic shock is very poor. Unprotected left main coronary stenosis usually preclude percutaneous transluminal coronary angioplasty because of the appearance of elastic recoil and the risk of hemodynamic collapse after acute closure of the artery. An 85-year-old woman with no history of heart disease developed cardiogenic shock. Coronary arteriography showed an unprotected left main coronary stenosis. Due to her advanced age, her family opposed coronary artery bypass surgery. We report here the successful treatment of this case of unprotected left main coronary stenosis by directional coronary atherectomy as a last resort.
T Toeda; T Miida; H Oda; N Higuma
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Japanese circulation journal     Volume:  59     ISSN:  0047-1828     ISO Abbreviation:  Jpn. Circ. J.     Publication Date:  1995 Apr 
Date Detail:
Created Date:  1995-10-03     Completed Date:  1995-10-03     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7806868     Medline TA:  Jpn Circ J     Country:  JAPAN    
Other Details:
Languages:  eng     Pagination:  231-5     Citation Subset:  IM    
Department of Cardiology, Niigata City General Hospital, Japan.
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MeSH Terms
Aged, 80 and over
Atherectomy, Coronary*
Coronary Disease / radiography,  therapy*

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