Author/Editor		Kanič, Vojko; Granda, Samo; Kompara, Gregor
Title		Primarna PTCA z zapleti pri akutnem koronarnem sindromu z dvigom ST veznice
Translated title		Primary PTCA with complications in ST elevation acute coronary syndrome
Type		članek
Source		In: Bručan A, Gričar M, Vajd R, editors. Urgentna medicina: izbrana poglavja. Zbornik 11. mednarodni simpozij o urgentni medicini; 2004 jun 9-12; Portorož. Ljubljana: Slovensko združenje za urgentno medicino,
Publication year		2004
Volume		str. 308-11
Language		slo
Abstract		Primary percutaneous transluminal coronary angioplasty (PTCA) with or without the use of coronary stenting is the most successful form of treatment of ST elevation acute coronary syndrome (STACS). In cases of coexisting cardiogenic shock PTCA has to be done as quickly as possible even in presence of indications for surgical myocardial revascularization. We present a case of a 72-yearold female patient with STACS. Urgent coronary angiography was performed. Even though the findings of multi-vessel coronary disease and left main coronary artery involvement implied surgical intervention, because of evolving cardiogenic shock we were forced to perform PTCA. After several periprocedural complications, including acute complete left coronary artery occlusion, ventricular arrhythmias and respiratory arrest, we managed to achieve successful coronary reperfusion with PTCA of left anterior descendent artery (LAD) and left circumflex artery (LCX) using coronary stents. The patient was mechanically ventilated and because of cardiogenic shock intraaortic baloon pump was placed. On the next day the patient was cardiocirculatory stable, she was breathing spontaneously and was dismissed from hospital after being treated for 12 days. Percutaneous coronary intervention in ST elevation acute coronary syndrome can be a successful form of treatment even in presence of multi-vessel coronary artery disease and evolving cardiogenic shock.
Descriptors		ANGIOPLASTY, TRANSLUMINAL, PERCUTANEOUS CORONARY MYOCARDIAL INFARCTION ANGINA, UNSTABLE SHOCK, CARDIOGENIC CORONARY THROMBOSIS AGED STENTS ELECTROCARDIOGRAPHY