A Case of Successful Primary Coronary Intervention for the Total Occlusion of Left Main Stem with the Aid of Abciximab
Journal of Korean Medical Science
; : 509-511, 2001.
Article
em En
| WPRIM
| ID: wpr-79880
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WPRO
ABSTRACT
A 61-yr-old male patient presented with severe chest pain with cardiogenic shock due to an extensive anterolateral myocardial infarction. Two-dimensional echocardiogram showed severe left ventricular systolic dysfunction (ejection fraction=17%). Emergent coronary angiogram obtained immediately after placing temporary pacing electrode revealed total thrombotic occlusion in the left main stem. We performed direct coronary intervention using kissing balloon technique with the aid of Abciximab (ReoPro(R)) infusion. Residual stenosis with thrombus remained even after high pressure balloon dilatations, therefore we placed two stents, one in the ostia of left anterior descending (LAD) and the other in left circumflex artery (LCX). Coronary angiogram after kissing stents showed improved LAD and LCX flows without residual stenosis. Chest pain resolved and blood pressure normalized after coronary intervention. The whole procedure time was 15 min. Follow-up coronary angiogram taken one week later showed patent previous stented arteries, and echocardiography demonstrated 40% of left ventricular ejection fraction. The clinical course for one-year follow-up was uneventful.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Fragmentos Fab das Imunoglobulinas
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Inibidores da Agregação Plaquetária
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Stents
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Doença das Coronárias
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Pessoa de Meia-Idade
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Anticorpos Monoclonais
Limite:
Humans
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Male
Idioma:
En
Revista:
Journal of Korean Medical Science
Ano de publicação:
2001
Tipo de documento:
Article