The intra-aortic balloon pump as an adjunctive therapy for severe myocardial contusion.
The management of patients with post-traumatic myocardial contusion requires close electrocardiographic and hemodynamic monitoring. When complications such as cardiogenic shock occur, aggressive treatment using Swan-Ganz catheterization for monitoring of intravascular volume and cardiac inotropic support are necessary. Failure to restore hemodynamic stability using these measures is an indication for the use of intra-aortic balloon pump counterpulsation. A case of successful management of a patient with post-traumatic myocardial contusion complicated by refractory cardiogenic shock using intra-aortic balloon pump counterpulsation is presented. Use of the intra-aortic balloon pump improved cardiac output, eventually resulting in hemodynamic stabilization.
Demas
C
C
Division of Trauma Surgery, UMDNJ-Robert Wood Johnson Medical School, New Brunswick 08903.
Flancbaum
L
L
Scott
G
G
Trooskin
S Z
SZ
D000328:Adult; D004562:Electrocardiography; D004630:Emergencies; D006335:Heart Injuries / Q000150:complications / Q000628:therapy*; D006439:Hemodynamics; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D012151:Resuscitation; D012770:Shock, Cardiogenic / Q000209:etiology