Vol 65, No 3 (2007)
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Published online: 2007-03-26

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Case report
Recent myocardial infarction, cardiogenic shock and unsuccessful coronary angioplasty – the pattern of cooperation between a centre without on-site surgical back-up and a distantly located clinical cardiosurgery centre

Bartłomiej Janiak, Jacek Jakubaszko, Małgorzata Gorski, Marek Pelczar, Roman Szełemej, Wojciech Kustrzycki
DOI: 10.33963/v.kp.80977
Kardiol Pol 2007;65(3):289-292.

Abstract

The case of a 66-year-old male with acute myocardial infarction (AMI) complicated by cardiogenic shock is presented. Because of failed primary PCI, after stabilisation of ischaemia and haemodynamics by medication and IABP he was transferred to a distantly located cardiosurgery unit. This patient underwent successful emergency CABG on the second day after infarction. The problem of transporting a patient with AMI and cardiogenic shock to a distant site and the problem of emergency CABG in such high-risk patients is discussed.

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Polish Heart Journal (Kardiologia Polska)