Ibdah Rasheed K, Alrabadi Nasr, Rawashdeh Sukaina I, Al-Ksassbeh Abdullah, Habib Amjad, Hijazi Emad
Division of Cardiology, Department of Internal Medicine, Jordan University for Science and Technology, Irbid, 22110, Jordan.
Department of Pharmacology, Faculty of Medicine, Jordan University for Science and Technology, Irbid, 22110, Jordan.
Ann Med Surg (Lond). 2020 Nov 27;60:610-613. doi: 10.1016/j.amsu.2020.11.062. eCollection 2020 Dec.
Thrombus occlusion of the left main coronary artery (LMCA) is a poorly prognostic condition that is commonly associated with mortality especially when complicated with cardiogenic shock.
In this report, we presented a case for 44 years-old male patient who is not known to have ischemic heart disease. He was transferred from a peripheral hospital for emergency percutaneous coronary intervention (PCI) after presenting with anterior ST-elevation myocardial infarction (STEMI) complicated with cardiogenic shock.
The PCI revealed complete occlusion of the LMCA with a thrombus which was stented and the patient regain his cardiovascular stability. The patient survived this complete occlusion that was complicated with cardiogenic shock giving the quick intervention with the PCI and the use of the circulatory support devices.
The PCI procedure with the intra-aortic balloon pump should be available and offered early for patients with STEMI complicated with cardiogenic shock. This could be very critical in increasing the survival rates for those patients.
左主干冠状动脉（LMCA）血栓闭塞是一种预后不良的情况，通常与死亡率相关，尤其是合并心源性休克时。
在本报告中，我们呈现了一名44岁男性患者的病例，该患者既往无缺血性心脏病史。他因前壁ST段抬高型心肌梗死（STEMI）合并心源性休克，从外周医院转来接受紧急经皮冠状动脉介入治疗（PCI）。
PCI显示LMCA完全闭塞并伴有血栓形成，置入支架后患者恢复了心血管稳定性。患者在合并心源性休克的完全闭塞情况下存活下来，这得益于PCI的快速干预以及循环支持设备的使用。
对于合并心源性休克的STEMI患者，应尽早提供并实施带主动脉内球囊泵的PCI手术。这对于提高这些患者的生存率可能至关重要。
