Combined use of left ventricular assist devices in cardiogenic shock. Report of one case

被引：0

作者：

Hameau D, Rene ^{[1
]}

Soriano, Francesco ^{[2
]}

Oreglia, Jacopo ^{[2
]}

Munoz, Rodrigo ^{[3
]}

Luis Winter, Jose ^{[3
]}

Valdebenito, Martin ^{[3
]}

Quitral, Jorge ^{[1
]}

Lindefjeld, Dante ^{[3
,4
]}

Veas, Nicolas ^{[3
,4
]}

机构：

[1] Pontificia Univ Catolica Chile, Escuela Med, Escuela Postgrad, Programa Cardiol Intervenc, Santiago, Chile

[2] Gran Osped Metropolitano Niguarda, Dipartimento Cardiotoracovasc, Cardiol 1, Milan, Italy

[3] Hosp Setero del Rio, Unidad Cardiol Intervenc & Hemodinamia, Dept Cardiol, Santiago, Chile

[4] Univ los Andes, Dept Cardiol Clin, Santiago, Chile

来源：

REVISTA MEDICA DE CHILE | 2020年 / 148卷 / 03期

关键词：

Heart-Assist Devices; Shock; Cardiogenic; Ventricular Dysfunction; Left; EXTRACORPOREAL MEMBRANE-OXYGENATION; RANDOMIZED CLINICAL-TRIAL; INTRAAORTIC BALLOON PUMP; SUPPORT; MANAGEMENT; ELEVATION;

D O I：

暂无

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a 55-year-old woman with a history of hypothyroidism and type 2 diabetes mellitus who consulted at the emergency room because of intermittent oppressive chest discomfort. At admission, electrocardiogram showed a complete atrioventricular block. A transthoracic echocardiogram disclosed severe left ventricular dysfunction. The patient developed cardiogenic shock that required the installation of the Impella system. An emergency coronary angiography showed an ostial occlusion of the anterior descending artery. Despite successful primary angioplasty, she persisted with refractory shock and progressive hypoxemia. A concomitant connection to the extracorporeal membrane oxygenation system (ECMO) was decided. The support of both devices allowed the stabilization of the patient and the improvement of perfusion parameters.

引用

页码：409 / 413

页数：5

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