Cardiogenic shock continues to be the most serious complication of the acute myocardial infarction

: The actual therapeutic guidelines, look to conceive reperfusion of the infarcted myocardial areas in less time with pharmacological treatment, interventionist procedures or surgery for revascularization. CABG should be consider as a therapeutic modality that can be use for the treatment of cardiogenic shock, in well selected patients, as in those who primary angioplasty could not be achieved as treatment for the acute myocardial infarction. We revised the patients characteristics, the useful modalities and benefits that CABG can offer in this pathology.