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Rescue PTCA for a totally occluded left main coronary artery in acute myocardial infarction with cardiogenic shock: technical success and long-term survival.

Authors
  • La Vecchia, L
  • Castellani, A
  • Bedogni, F
  • Vincenzi, M
Type
Published Article
Journal
Cardiology
Publication Date
Jan 01, 1997
Volume
88
Issue
5
Pages
482–485
Identifiers
PMID: 9286513
Source
Medline
License
Unknown

Abstract

Percutaneous transluminal coronary angioplasty was performed after failed thrombolysis in a 54-year-old man for total occlusion of the left main coronary artery in the setting of acute myocardial infarction with cardiogenic shock. The procedure was successful in terms of vessel recanalization and restoration of flow. The recovery of muscle function was limited due to the time lag between onset of symptoms and recanalization. This case highlights the crucial role of early identification and prompt referral of patients with extensive ischemia to centers with the capability for emergency percutaneous revascularization procedures.

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