• Internal medicine · Jan 2012

    Case Reports

    A survival case of cardiogenic shock due to left main coronary artery myocardial infarction: successful cooperation with on-site percutaneous coronary intervention and helicopter emergency medical service.

    • Yuichi Kimura, Keisuke Ohba, Hitoshi Sumida, Kenichi Tsujita, Toyoki Hirose, Hideki Maruyama, Shiro Hirai, Koichi Kaikita, Seiji Hokimoto, Seigo Sugiyama, and Hisao Ogawa.
    • Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan.
    • Intern. Med. 2012 Jan 1;51(14):1845-50.

    AbstractA 54-year-old man was referred to a local hospital, located about 90 km from our hospital, with cardiogenic shock due to left main coronary artery infarction (LMCA-MI). Percutaneous coronary intervention (PCI) was performed under intra-aortic balloon pumping (IABP) support, but resulted in insufficient reperfusion and his condition worsened. The helicopter emergency medical service (HEMS) rapidly transported the patient to our hospital. After percutaneous cardio-pulmonary support system (PCPS) insertion, PCI could establish the coronary flow. A series of intensive therapies saved the patient. The cooperation of medical and emergency service system following revascularization and intensive care saved the patient with LMCA-MI accompanied by cardiogenic shock.

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