| Title: | Acute Myocardial Infarction of the Left Main Coronary Artery Presenting with Cardiogenic Shock and Pulmonary Edema during Noncardiac Surgery |
| Authors: | Takenaka, Sakae Browse this author |
| Konishi, Takao Browse this author |
| Sato, Tomoya Browse this author |
| Tada, Atsushi Browse this author |
| Koizumi, Takuya Browse this author |
| Mizuguchi, Yoshifumi Browse this author |
| Kadosaka, Takahide Browse this author |
| Motoi, Ko Browse this author |
| Kobayashi, Yuta Browse this author |
| Komoriyama, Hirokazu Browse this author |
| Kato, Yoshiya Browse this author |
| Sarashina, Miwa Browse this author |
| Omote, Kazunori Browse this author |
| Tsujinaga, Shingo Browse this author |
| Sato, Takuma Browse this author |
| Kamada, Rui Browse this author |
| Kamiya, Kiwamu Browse this author |
| Iwano, Hiroyuki Browse this author |
| Nagai, Toshiyuki Browse this author |
| Orimo, Tatsuya Browse this author |
| Kamachi, Hirofumi Browse this author |
| Taketomi, Akinobu Browse this author |
| Anzai, Toshihisa Browse this author →KAKEN DB |
| Issue Date: | 14-Aug-2021 |
| Publisher: | Hindawi Publishing Corporation |
| Journal Title: | Case Reports in Cardiology |
| Volume: | 2021 |
| Start Page: | 5460816 |
| Publisher DOI: | 10.1155/2021/5460816 |
| Abstract: | Acute myocardial infarction (AMI) caused by severe stenosis of left main coronary artery (LMCA) presenting with cardiogenic shock and pulmonary edema during noncardiac surgery is uncommon, but a catastrophic event. A 77-year-old male with cholangiocarcinoma underwent hepatectomy. During the surgery, he presented with cardiogenic shock, which did not respond to infusion administration or vasopressor. A transesophageal echocardiogram revealed anterior, septal, and lateral severe hypokinesia and impaired left ventricular function. Emergent coronary angiogram showed severe stenosis of LMCA. The patient underwent primary percutaneous coronary intervention (PCI) under the support of intra-aortic balloon pump, followed by extracorporeal membrane oxygenation. The chest roentgenogram showed pulmonary edema. Two days after PCI, he successfully underwent hepatectomy and bile duct resection. Early identification of the cause of hemodynamic instability during noncardiac surgery and invasive strategy are important for minimizing the myocardial injury and improving clinical outcomes in AMI of LMCA. |
| Type: | article |
| URI: | http://hdl.handle.net/2115/82973 |
| Appears in Collections: | 医学院・医学研究院 (Graduate School of Medicine / Faculty of Medicine) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)
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