Combined Therapy with Percutaneous Coronary Intervention and Percutaneous Aortic Valvuloplasty under Mechanical Support for an Elderly Patient with Cardiogenic Shock

Koji Kato; Naoki Sato; Nobuhiko Fujita; Takeshi Yamamoto; Yu-ki Iwasaki; Kenji Yodogawa; Morimasa Takayama; Keiji Tanaka; Teruo Takano

doi:10.1272/jnms.73.158

Case Reports

Combined Therapy with Percutaneous Coronary Intervention and Percutaneous Aortic Valvuloplasty under Mechanical Support for an Elderly Patient with Cardiogenic Shock

Koji Kato, Naoki Sato, Nobuhiko Fujita, Takeshi Yamamoto, Yu-ki Iwasaki, Kenji Yodogawa, Morimasa Takayama, Keiji Tanaka, Teruo Takano

Author information

Koji Kato
Intensive and Cardiac Care Unit, Department of Internal Medicine, Nippon Medical School
Naoki Sato
Intensive and Cardiac Care Unit, Department of Internal Medicine, Nippon Medical School
Nobuhiko Fujita
Intensive and Cardiac Care Unit, Department of Internal Medicine, Nippon Medical School
Takeshi Yamamoto
Intensive and Cardiac Care Unit, Department of Internal Medicine, Nippon Medical School
Yu-ki Iwasaki
Intensive and Cardiac Care Unit, Department of Internal Medicine, Nippon Medical School
Kenji Yodogawa
Intensive and Cardiac Care Unit, Department of Internal Medicine, Nippon Medical School
Morimasa Takayama
Department of Internal Medicine, Nippon Medical School
Keiji Tanaka
Intensive and Cardiac Care Unit, Department of Internal Medicine, Nippon Medical School
Teruo Takano
Department of Internal Medicine, Nippon Medical School

Keywords: cardiogenic shock, coronary intervention, aortic valvuloplasty, intra-aortic balloon pump, percutaneous cardiopulmonary support

JOURNAL FREE ACCESS

2006 Volume 73 Issue 3 Pages 158-163

DOI https://doi.org/10.1272/jnms.73.158

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Abstract

Percutaneous aortic valvuloplasty is reportedly a useful tool for the management of critical and severe aortic stenosis with cardiogenic shock¹. However, early percutaneous coronary intervention for cardiogenic shock is beneficial for elderly patients with acute myocardial infarction^{2, 3}. We describe a patient with critical aortic stenosis who presented with severe coronary stenosis of the left main trunk and the ostium of the right coronary artery. We performed percutaneous coronary intervention and percutaneous aortic valvuloplasty under intra-aortic balloon pump and percutaneous cardiopulmonary support. After these procedures, the cardiogenic shock was reversed, and the patient could be weaned from both intra-aortic balloon pump support and percutaneous cardiopulmonary support.

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