[Recent myocardial infarction, cardiogenic shock and unsuccessful coronary angioplasty--the pattern of cooperation between a centre without on-site surgical back-up and a distantly located clinical cardiosurgery centre]

Bartłomiej Janiak; Jacek Jakubaszko; Małgorzata Gorski; Marek Pelczar; Roman Szełemej; Wojciech Kustrzycki

[Recent myocardial infarction, cardiogenic shock and unsuccessful coronary angioplasty--the pattern of cooperation between a centre without on-site surgical back-up and a distantly located clinical cardiosurgery centre]

Kardiol Pol. 2007 Mar;65(3):289-92; discussion 292-3.

[Article in Polish]

Authors

Bartłomiej Janiak¹, Jacek Jakubaszko, Małgorzata Gorski, Marek Pelczar, Roman Szełemej, Wojciech Kustrzycki

Affiliation

¹ Wałbrzyski Ośrodek Kardiologii Interwencyjnej, Szpital Specjalistyczny im. dr. Alfreda Sokołowskiego, ul. A. Sokołowskiego 4, 58-309 Wałbrzych. bartlomiej.janiak@zdrowie.walbrzych.pl

PMID: 17436159

Abstract

The case of a 66-year-old male with acute myocardial infarction (AMI) complicated by cardiogenic shock is presented. Because of failed primary PCI, after stabilisation of ischaemia and haemodynamics by medication and IABP he was transferred to a distantly located cardiosurgery unit. This patient underwent successful emergency CABG on the second day after infarction. The problem of transporting a patient with AMI and cardiogenic shock to a distant site and the problem of emergency CABG in such high-risk patients is discussed.

Publication types

Case Reports
English Abstract

MeSH terms

Aged
Angioplasty, Balloon, Coronary*
Coronary Artery Bypass*
Humans
Male
Myocardial Infarction / complications
Myocardial Infarction / surgery
Myocardial Infarction / therapy*
Shock, Cardiogenic / etiology*
Treatment Failure
Treatment Outcome