Emergent Primary Coronary Angioplasty Saved lives in Left Main Shock Syndrome: A report of two cases with different manifestations and management

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Published: Feb 20, 2012
DOI: https://doi.org/10.31524/bkkmedj.2012.02.009
Keywords:
Left main coronary artery occlusion, Cardiogenic shock, ST elevation acute myocardial infarction, primary (direct) angioplasty

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Gumpanart Veerakul, MD
Lertlak Chaothawee, MD
Warong Lapanun, MD
Krisada Sastravaha, MD
Chawalit Dungkosin, MD
Prajongjitr Chamsaad, MD
Unchalee Sindhuwanna, RN
Thanyathorn Kawkeaw, RN
Adiporn Khengrang, RN
Paowana Watanaswad, RN

Abstract





Acute occlusion of the left main (LM) coronary artery leading to cardiogenic shock, so-called the Left Main Shock syndrome (LMSS), is an extremely dangerous life- threatening conditions.1 Despite successful revascularization, the mortality rates of LMSS remain high, in the ranges of 33-94%.2-4 In Thailand, the prevalence and outcome of this lethal condition is still underreported, thus we disscuss below two LMSS cases that survived emergent coronary angioplasty but who displayed different manifestation and thus altered our treatment decisions.





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How to Cite
1.
Veerakul G, Chaothawee L, Lapanun W, Sastravaha K, Dungkosin C, Chamsaad P, Sindhuwanna U, Kawkeaw T, Khengrang A, Watanaswad P. Emergent Primary Coronary Angioplasty Saved lives in Left Main Shock Syndrome: A report of two cases with different manifestations and management. BKK Med J [Internet]. 2012 Feb. 20 [cited 2024 Dec. 22];3(1):46. Available from: https://he02.tci-thaijo.org/index.php/bkkmedj/article/view/217904
Issue
Vol. 3 (2012): February
Section
Case Report

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