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Emergency coronary stenting of unprotected critical left main coronary artery stenosis in acute myocardial infarction and cardiogenic shock
  1. H McArdle,
  2. M Bhandari,
  3. J Kovac
  1. Department of Cardiology, Glenfield General Hospital, University Hospital Leicester, Leicester, UK
  1. Correspondence to:
    Dr J Kovac, Department of Cardiology, Glenfield General Hospital, University Hospital Leicester, Leicester LE3 9QP, UK;
    jan{at}kovac.freeserve.co.uk

Abstract

In the setting of acute myocardial infarction (MI) and cardiogenic shock in patients with significant unprotected left main coronary artery (LMCA) disease, treatment options are limited. In this report of a patient presenting in cardiogenic shock secondary to acute MI with critical LMCA stenosis, percutaneous coronary intervention with intra-aortic balloon pump support proved life saving.

  • stenting
  • acute myocardial infarction
  • cardiogenic shock
  • stenosis
  • intra-aortic balloon pump
  • IABP, intra-aortic balloon pump
  • LMCA, left main coronary artery
  • PCI, percutaneous coronary intervention
  • SHOCK, should we emergently revascularize occluded coronaries for cardiogenic shock
  • TIMI, thrombolysis in myocardial infarction
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