überlebter akuter Myokardinfarkt mit Hauptstammverschluss der linken Koronararterie

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• 作者：Dr. W. Hein (1)
  P. Schott (1)
  
• 关键词：Akuter Myokardinfarkt ; Hauptstammverschluss ; Kardiogener Schock ; Perkutane transluminale Koronarangioplastie ; Acute myocardial infarction ; Left main coronary artery occlusion ; Shock ; cardiogenic ; Percutaneous coronary intervention
• 刊名：Der Kardiologe
• 出版年：2012
• 出版时间：April 2012
• 年：2012
• 卷：6
• 期：2
• 页码：157-159
• 全文大小：693KB
• 参考文献：1. Lee MS, Bokhoor P, Park SJ et al (2010) Unprotected left main coronary disease and ST-segment elevation myokardial infarktion: a contemporary rewiew and argument for percutaneos coronary intervention. JACC Cardiovasc Interv 3(8):791-95 CrossRef
  2. Nikus KC, Eskola MJ (2008) Electrocardiogram patterns in acute left main coronary artery occlusion. J Electrocardiol 41(6):626-29 CrossRef
  3. Silber S, Borggrefe M, Hasenfu? G et al (2010) Kommentare zu den Leitlinien der Europ?ischen Gesellschaft für Kardiologie (ESC) zur Diagnostik und Therapie von Patienten mit ST-Streckenhebungsinfarkt (STEMI). Kardiologe 4:84-2 CrossRef
  4. Spiecker M, Erbel R, Rupprecht HJ, Meyer (1994) Emergency angioplasty of totally occluded left main coronary artery in acute myocardial infarction and unstable angina pectoris -institutional experience and literature review. Eur Heart J 15:602-07
  5. Zeymer U, Vogt A, Zahn R et al (2004) Predictors of in-hospital mortality in 1333 patients with acute myocardial infarction complicated by cardiogenic shock treated with primary percutaneous coronary intervention (PCI). Results of the primary PCI registry of the Arbeitsgemeinschaft Leitende Kardiologische Krankenhaus?rzte (ALKK). Eur Heart J 25:322-28 CrossRef
  
• 作者单位：Dr. W. Hein (1)
  P. Schott (1)
  
  1. Abteilung Kardiologie und Intensivmedizin, Klinikum Werra-Mei?ner GmbH, Elsa-Br?ndstr?m-Str. 1, 37269, Eschwege, Deutschland
  

文摘

Survival of acute total occlusion of the left main coronary artery (LMCA) is rare. The majority of these patients die suddenly due to extensive acute myocardial infarction with cardiogenic shock and arrhythmias. Early recognition of symptoms and accurate detection of myocardial infarction, prompt percutaneous coronary intervention, shock treatment with intra-aortic balloon pump and early emergency coronary artery bypass grafting led to survival of a young male patient with acute occlusion of the left main artery in our case.