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A perilous cause for cardiogenic shock
  1. Suresh Madhavan,
  2. Gargi Sathish
  1. Department of Cardiology, Medical College, Kottayam, Kerala, India
  2. Department of Ophthalmology, Medical College, Kottayam, Kerala, India
  1. Correspondence to Dr Suresh Madhavan, Department of Cardiology, Medical College, Kottayam, Kerala 686008, India; drsureshmadhavan76{at}

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A 34-year-old man with no conventional coronary risk factors was admitted with inferoposterior and right ventricular myocardial infarction with evidence of cardiogenic shock. Patient was taken for emergency primary percutaneous coronary intervention. Because the patient was hemodynamically unstable, direct cannulation of right coronary artery was done, which showed ostioproximal thrombotic occlusion of right coronary artery. After wiring the vessel, thrombus aspiration and subsequent stenting was done. Thrombolysis in myocardial infaction (TIMI) III flow was …

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