Cardiac Resynchronization Therapy Device Implantation in a Patient with Cardiogenic Shock under Percutaneous Mechanical Circulatory Support.
- Author:
Kyunghee LIM
1
;
Jin Oh CHOI
;
Jeong Hoon YANG
;
Seung Jung PARK
;
Sun Hwa KIM
;
Jiseok KANG
;
Hyun Sung JOH
;
Sun Hye SHIN
Author Information
- Publication Type:Case Report
- Keywords: Cardiac resynchronization therapy; Extracorporeal membrane oxygenation; Shock, cardiogenic
- MeSH: Aged; Atrial Fibrillation; Bundle-Branch Block; Cardiac Resynchronization Therapy*; Defibrillators; Electrocardiography; Extracorporeal Membrane Oxygenation; Female; Heart Failure; Hemodynamics; Humans; Mitral Valve Insufficiency; Shock, Cardiogenic*; Stroke Volume; Weaning
- From:Korean Circulation Journal 2017;47(1):132-135
- CountryRepublic of Korea
- Language:English
- Abstract: 65-year-old woman was admitted to our hospital with acute decompensated heart failure with reduced left ventricular ejection fraction and severe mitral regurgitation. Electrocardiography revealed a typical left bundle branch block and atrial fibrillation. Her condition deteriorated despite administering high-doses of inotropes and vasopressors. Pending a decision to therapy, venoarterial extracorporeal membrane oxygenation (ECMO) was performed when the patient underwent a cardiogenic shock. Although the hemodynamic status stabilized with ECMO support, weaning the patient from ECMO was not possible. Thus, we decided to perform cardiac resynchronization with defibrillator implantation as a “rescue” therapy. Five days post-implantation, the patient was successfully weaned from ECMO.
