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; Hisao Ogawa

doi:10.2169/internalmedicine.51.7442

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, Hisao Ogawa

Author information

Yuichi Kimura
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Keisuke Ohba
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Hitoshi Sumida
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Kenichi Tsujita
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Toyoki Hirose
Division of Cardiology, Minamata City Hospital and Medical Center, Japan
Hideki Maruyama
Division of Cardiology, Minamata City Hospital and Medical Center, Japan
Shiro Hirai
Kumamato Air Rescue Team, Japan
Koichi Kaikita
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Seiji Hokimoto
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Seigo Sugiyama
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Hisao Ogawa
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan

Keywords: cardiogenic shock, acute myocardial infarction, percutaneous cardio-pulmonary support system, trans-radial percutaneous coronary intervention, helicopter emergency medical service

JOURNAL OPEN ACCESS

2012 Volume 51 Issue 14 Pages 1845-1850

DOI https://doi.org/10.2169/internalmedicine.51.7442

Details

Abstract

A 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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