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  • Title: [Off-pump coronary artery bypass grafting for restenosis after coronary angioplasty in the patient with left main shock syndrome].
    Author: Midorikawa H, Hoshino S, Ogawa T, Satou K, Yokoyama H.
    Journal: Kyobu Geka; 2003 Jan; 56(1):77-81. PubMed ID: 12607256.
    Abstract:
    A case of left main shock syndrome due to total occlusion of left main trunk was reported. A 65-year-old man with acute myocardial infarction developed cardiogenic shock shortly after admission. An emergency coronary angiogram revealed total occlusion of the left main trunk without collaterals. Immediately, a stent was implanted in the left main trunk and the lesion was successfully improved. However, the left coronary angiogram revealed 90% restenosis of the left main trunk in a coronary angiogram examined 6 months after stent placement. Since the patient suffered from poor cardiac function, off-pump coronary artery bypass grafting (left internal thoracic artery to left descending coronary artery) was successfully performed using an intracoronary shunt. No complications were observed.
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