Saal J P, Zelinsky R, Dubois-Randé J L, Duval A M, Benvenuti C, Merlet P, Lellouche D, Loisance D, Geschwind H, Castaigne A
Service de cardiologie, CHU Henri-Mondor, Créteil.
Arch Mal Coeur Vaiss. 1991 Oct;84(10):1473-6.
The prognosis of cardiogenic shock in the acute phase of myocardial infarction has been transformed since the introduction of techniques of myocardial revascularisation. We report the case of a patient in cardiogenic shock after a large anterior myocardial infarct in whom failure of early thrombolytic therapy led to referral for emergency percutaneous transluminal coronary angioplasty. The success of the procedure on the patient's haemodynamic condition was life-saving. The originality of this case resides in the fact that revascularisation concerned the left main coronary stem.
自从引入心肌血运重建技术以来，心肌梗死急性期心源性休克的预后已得到改善。我们报告了1例大面积前壁心肌梗死后发生心源性休克的患者，早期溶栓治疗失败后转诊接受急诊经皮冠状动脉腔内血管成形术。该手术对患者血流动力学状况的成功挽救了患者生命。本病例的独特之处在于血运重建涉及左冠状动脉主干。
