Acute traumatic myocardial infarction with cardiogenic shock in severe polytrauma--a case report

A 41-year-old man suffered severe polytrauma and developed a traumatic myocardial infarction with cardiogenic shock. Thrombolysis as well as coronary bypass grafting was contraindicated due to accompanying injuries. An attempted early coronary revascularization by percutaneous transluminal coronary...

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Published inAnästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS Vol. 35; no. 4; p. 262
Main Authors Rohe, G, Feyerherd, F, Möx, B, Hachenberg, T
Format Journal Article
LanguageGerman
Published Germany 01.04.2000
Subjects
Adult
Angioplasty, Balloon, Coronary
Electrocardiography
Gastrointestinal Hemorrhage - complications
Gastrointestinal Hemorrhage - surgery
Humans
Laparotomy
Male
Multiple Trauma - pathology
Myocardial Infarction - etiology
Myocardial Infarction - pathology
Myocardial Revascularization
Shock, Cardiogenic - etiology
Shock, Cardiogenic - pathology
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Summary:A 41-year-old man suffered severe polytrauma and developed a traumatic myocardial infarction with cardiogenic shock. Thrombolysis as well as coronary bypass grafting was contraindicated due to accompanying injuries. An attempted early coronary revascularization by percutaneous transluminal coronary angioplasty (PTCA) failed due to dissection of the left interventricular coronary artery. Treatment of cardiac insufficiency was complicated by intraabdominal haemorrhage enforcing emergency laparotomy. Intraaortic balloon counterpulsation proved to be efficient in supporting circulation in these circumstances. The case report documents the practicability and importance of treating both myocardial ischaemia and attending injuries in an equivalent and coordinated manner in traumatic myocardial infarction.
ISSN:0939-2661
DOI:10.1055/s-2000-7981