Successful use of a left ventricular assist device in cardiogenic shock from massive postoperative myocardial infarction.
A 41-year-old man underwent an uneventful aorta-coronary bypass for unstable angina pectoris. Four hours later, a massive anterior wall myocardial infarction resulted in cardiac arrest. Conventional resuscitative means were not effective. A left ventricular assist device (LVAD) was successfully employed for 94 hours. The patient is alive and well 8 months postoperatively.
D000328:Adult; D000787:Angina Pectoris / Q000601:surgery; D002305:Cardiac Tamponade / Q000150:complications; D001026:Coronary Artery Bypass; D006323:Heart Arrest / Q000628:therapy; D006354:Heart, Artificial / Q000295:instrumentation*; D006439:Hemodynamics; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D009203:Myocardial Infarction / Q000628:therapy*; D012151:Resuscitation / Q000295:instrumentation / Q000379:methods; D012770:Shock, Cardiogenic / Q000628:therapy*