Successful use of percutaneous cardiopulmonary support in patients with cardiogenic shock due to myocardial infarction: Report of two cases.
- Author:
Sung Hye BYUN
1
;
Hyun Jung LEE
;
Joon Yong CHO
;
Jae Kyung HAN
;
Jeong Eun LEE
;
Jong Chan KIM
Author Information
1. Department of Anesthesiology and Pain Medicine, Kyungpook National University Hospital, Daegu, Korea. aescula72@hanmail.net
- Publication Type:Case Report
- Keywords:
Cardiac surgery;
Cardiogenic shock;
Percutaneous cardiopulmonary support
- MeSH:
Heart Septal Defects, Ventricular;
Humans;
Myocardial Ischemia;
Rupture;
Shock, Cardiogenic;
Stress, Psychological;
Thoracic Surgery
- From:Anesthesia and Pain Medicine
2012;7(4):333-337
- CountryRepublic of Korea
- Language:English
-
Abstract:
Percutaneous cardiopulmonary support (PCPS) is accepted as a very helpful mechanical support available for patients with cardiogenic shock unresponsive to medical treatment and intra-aortic balloon pump (IABP). Although the indication criteria or guidelines for the application of PCPS have not been established, several reports demonstrate that the early initiation of PCPS allows for good clinical outcomes in patients suffering cardiogenic shock. We experienced two patients that required PCPS before and after emergent cardiotomy to correct ventricular septal defect and left ventricular rupture due to myocardial ischemia, respectively. Herein, we report these cases to emphasize that the early application of PCPS is essential to improve the clinical outcomes in patients with severe cardiogenic shock.