Right ventricular infarction with cardiogenic shock treated with percutaneous cardiopulmonary support: a case report.
A patient with a right ventricular infarction was resuscitated with percutaneous cardiopulmonary support (PCPS), after attempts at reperfusion, high-dose inotropic support and intra-aortic balloon counterpulsation failed to improve the hemodynamic compromise. Emergency PCPS improved the cardiogenic shock and the reduced right ventricular load, allowing the ischemic right ventricle to recover in the setting of unsuccessful reperfusion. This case demonstrates the use of PCPS as a hemodynamic support device for spontaneous recovery of the ischemic right ventricle. PCPS may be a potential therapy for patients with right ventricular infarction.
Suguta
M
M
Department of Cardiology, Gunma Prefectural Cardiovascular Center, Maebashi, Japan. Fast5150@aol.com
Hoshizaki
H
H
Anno
M
M
Naito
S
S
Tada
H
H
Nogami
A
A
Oshima
S
S
Taniguchi
K
K
D015906:Angioplasty, Balloon, Coronary; D001243:Assisted Circulation / Q000379:methods; D002315:Cardiopulmonary Bypass; D016887:Cardiopulmonary Resuscitation / Q000379:methods*; D002316:Cardiotonic Agents / Q000627:therapeutic use; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000628:therapy*; D015424:Reperfusion; D012770:Shock, Cardiogenic / Q000628:therapy*; D018754:Ventricular Dysfunction / Q000628:therapy*
D002316:Cardiotonic Agents