Successful treatment of left main shock syndrome induced by thrombosed coronary artery dissection

Catheter-Induced Spiral Dissection of the Left Main Coronary Artery

Emergency coronary artery bypass grafting for left main shock syndrome.

OBJECTIVE Acute myocardial infarction (AMI) complicated by cardiogenic shock and left main coronary artery disease (left main shock syndrome) shows high morbidity, and whether early coronary artery bypass grafting (CABG) improves the clinical outcome remains unclear. METHODS Six consecutive patients (mean age, 61.6 years) with MI complicated by left main shock syndrome underwent emergency CAB...

Left main stem coronary artery dissection.

Left main stem coronary artery dissection is a rare cause of sudden death. This occurred in a previously asymptomatic 42-year-old white woman; clinical, arteriographic, and necropsy findings are described. Extrathoracic total body perfusion with isolated catheter perfusion of the dissected coronary artery using cold cardioplegic solution may be effective preoperative treatmemt.

A successful team treatment for left main shock syndrome

Acute myocardial infarction complicated by cardiogenic shock and left main coronary artery disease is called left main shock syndrome. It is reported that the morbility and mortality of the syndrome is approximately 0.46% and 55%-80%, respectively. However, the best treatment strategy in these cases is unknown. In this article, we present a patient with LMSS who successively underwent emergency...

Successful repeat percutaneous transluminal coronary angioplasty after failed coronary artery surgery for left main coronary artery dissection.

A 57 year old man required emergency coronary artery bypass surgery after dissection of the left main coronary artery during percutaneous transluminal coronary angioplasty. His symptoms recurred when the vein grafts became occluded. A dilatation device with the lowest profile was used to reduce the need for firm support from the guiding catheter during repeat percutaneous transluminal coronary ...