Selective Coronary and Left Ventricular Cineangiography during Intraaortic Balloon Pumping for Cardiogenic Shock
作者:
Robert Leinbach,
Robert Dinsmore,
Eldred Mundth,
Mortimer Buckley,
W. Dunkman,
W. Austen,
Charles Sanders,
期刊:
Circulation
(OVID Available online 1972)
卷期:
Volume 45,
issue 4
页码: 845-852
ISSN:0009-7322
年代: 1972
出版商: OVID
关键词: Ventricular segments;Infarct size;Bypass grafts;Criteria for operation
数据来源: OVID
摘要:
Eleven patients underwent selective coronary and left ventricular cineangiography during intraaortic balloon pumping for acute myocardial infarction and cardiogenic shock. Studies were performed when the clinical and hemodynamic trend predicted in-hospital death. Angiograms were reviewed by dividing the left ventricle into six segments, each with its characteristic coronary perfusion. No patient with avascular and akinetic segments survived with or without surgery. One patient with residual perfusion of all segments showed massive necrosis at operation that eventually led to his death. In four patients the findings of residual contraction and perfusion of most segments suggested reversible ventricular dysfunction. Three of these underwent coronary surgery with two excellent survivors.
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