PMID- 12667134
OWN - NLM
STAT- MEDLINE
DCOM- 20030620
LR  - 20101118
IS  - 1341-1098 (Print)
IS  - 1341-1098 (Linking)
VI  - 9
IP  - 1
DP  - 2003 Feb
TI  - Emergency surgical treatment for acute occlusion of the left main coronary 
      artery-report of a case-.
PG  - 73-8
AB  - We report a case of acute occlusion of the left main coronary artery (LMCA) 
      successfully treated with percutaneous transluminal coronary angioplasty (PTCA) 
      under the use of percutaneous cardiopulmonary bypass support (PCPS) and 
      subsequent coronary artery bypass grafting (CABG). CABG was started only two 
      hours after admission, and subsequent reperfusion of left anterior descending 
      artery (LAD) after completing distal and proximal anastomosis was achieved 60 
      minutes later. Although postoperative CK levels were elevated to 10,900 IU/l, 
      akinesis of the left ventricular (LV) wall was limited to segment #1 and #2, and 
      hypokinesis in segment #3 and #6 documented by postoperative left ventriculogram 
      (LVG). The patient was discharged from the hospital on foot without neurologic 
      sequelae and is doing well and in New York Heart Association (NYHA) functional 
      class I in 20 months of follow-up. Simultaneous efforts to maintain systemic 
      circulation and to achieve reperfusion of the occluded LMCA as soon as possible 
      are essential for survival. Prompt introduction of mechanical circulatory support 
      and early revascularization to minimize the infarct area are both necessary.
FAU - Takahashi, Junichiro
AU  - Takahashi J
AD  - Division of Cardiovascular Surgery, Aishin Memorial Hospital, Hokkaido, Japan.
FAU - Sugiki, Takashi
AU  - Sugiki T
FAU - Okude, Jun
AU  - Okude J
FAU - Gohda, Toshihiro
AU  - Gohda T
FAU - Murakami, Taiji
AU  - Murakami T
FAU - Sasaki, Shigeyuki
AU  - Sasaki S
FAU - Yasuda, Keishu
AU  - Yasuda K
LA  - eng
PT  - Case Reports
PT  - Journal Article
PL  - Japan
TA  - Ann Thorac Cardiovasc Surg
JT  - Annals of thoracic and cardiovascular surgery : official journal of the 
      Association of Thoracic and Cardiovascular Surgeons of Asia
JID - 9703158
SB  - IM
MH  - Angioplasty, Balloon, Coronary
MH  - Cardiopulmonary Bypass
MH  - Coronary Artery Bypass/*methods
MH  - Coronary Disease/*surgery
MH  - Emergency Medical Services
MH  - Humans
MH  - Male
MH  - Middle Aged
EDAT- 2003/04/02 05:00
MHDA- 2003/06/21 05:00
CRDT- 2003/04/02 05:00
PHST- 2003/04/02 05:00 [pubmed]
PHST- 2003/06/21 05:00 [medline]
PHST- 2003/04/02 05:00 [entrez]
PST - ppublish
SO  - Ann Thorac Cardiovasc Surg. 2003 Feb;9(1):73-8.