Acute Myocardial Infarction of the Left Main Coronary Artery Presenting with Cardiogenic Shock and Pulmonary Edema during Noncardiac Surgery

Takenaka, Sakae; Konishi, Takao; Sato, Tomoya et al.

Case Reports in Cardiology, 2021, 2021, 5460816

Permalink : https://hdl.handle.net/2115/82973

このアイテムのアクセス数:438件（2026-08-14 12:57 集計）

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https://doi.org/10.1155/2021/5460816     20

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アクセス権
open access
URI
https://hdl.handle.net/2115/82973
タイトル
Acute Myocardial Infarction of the Left Main Coronary Artery Presenting with Cardiogenic Shock and Pulmonary Edema during Noncardiac Surgery
著者
Takenaka, Sakae ; Konishi, Takao ; Sato, Tomoya ; Tada, Atsushi ; Koizumi, Takuya ; Mizuguchi, Yoshifumi ; Kadosaka, Takahide ; Motoi, Ko ; Kobayashi, Yuta ; Komoriyama, Hirokazu ; Kato, Yoshiya ; Sarashina, Miwa ; Omote, Kazunori ; Tsujinaga, Shingo ; Sato, Takuma ; Kamada, Rui ; Kamiya, Kiwamu ; Iwano, Hiroyuki ; Nagai, Toshiyuki ; Orimo, Tatsuya ; Kamachi, Hirofumi ; Taketomi, Akinobu ; Anzai, Toshihisa
著者名
Takenaka, Sakae
著者名
Konishi, Takao
著者名
Sato, Tomoya
著者名
Tada, Atsushi
著者名
Koizumi, Takuya
著者名
Mizuguchi, Yoshifumi
著者名
Kadosaka, Takahide
著者名
Motoi, Ko
著者名
Kobayashi, Yuta
著者名
Komoriyama, Hirokazu
著者名
Kato, Yoshiya
著者名
Sarashina, Miwa
著者名
Omote, Kazunori
著者名
Tsujinaga, Shingo
著者名
Sato, Takuma
著者名
Kamada, Rui
著者名
Kamiya, Kiwamu
著者名
Iwano, Hiroyuki
著者名
Nagai, Toshiyuki
著者名
Orimo, Tatsuya
著者名
Kamachi, Hirofumi
著者名
Taketomi, Akinobu
e-Rad_Researcher
60232089
著者名
Anzai, Toshihisa
言語
英語
発行日
2021-08-14
出版者
Hindawi Publishing Corporation
収録物名
Case Reports in Cardiology
巻(号)
2021
ページ
5460816
抄録
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.
資源タイプ
学術雑誌論文
出版タイプ
Version of Record
PISSN
2090-6404
関連情報 (isIdenticalTo)
出版社版DOI
https://doi.org/10.1155/2021/5460816