A case of total left main trunk occlusion and successful weaning from long-term cardiac assists

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  • 長期補助循環（ＩＡＢＰ・ＰＣＰＳ・ＬＶＡＤ）による救命しえた左冠動脈主幹部急性心筋梗塞の１症例

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Description

We experienced a case of acute myocardial infarction with cardiogenic shock caused by a total occlusion of left main trunk. The case was a 51-year-old man.<br>Percutaneous transluminal coronary angioplasty (PTCA) was accomplished under the support of intraaortic balloon pumping (IABP) and percutaneous cardiopulmonary support (PCPS), but yet he had severe heart failure and could not be weaned off the PCPS. We decided to adapt left ventricular assist device (LVAD) to him on the 8th hospital day in order to maintain hemodynamics and the patient was finally weaned from the device on the 18th hospital day although he suffered renal failure. This case shows that the mechanical cardiac assist devices offer the opportunity for recovering the damaged heart and provide time to choose another option such as transplantation.

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Details 詳細情報について

  • CRID
    1390282679421205888
  • NII Article ID
    130003641670
  • DOI
    10.3918/jsicm.8.39
  • ISSN
    1882966X
    13407988
  • Text Lang
    ja
  • Data Source
    • JaLC
    • Crossref
    • CiNii Articles
  • Abstract License Flag
    Disallowed

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