Postoperative coronary revascularization on LVAD support for surgically inaccessible myocardial ischemia.
The authors have used the concept of hybrid revascularization to salvage a patient in persistent cardiogenic shock after incomplete emergent surgical revascularization. While the patient was on left ventricular assist device support, a complex angioplasty was done on a surgically inaccessible right coronary artery, with subsequent cardiac recovery.
Kollar
Andras
A
Department of Cardiac and Thoracic Surgery, Vanderbilt University Medical Center and Nashville VA Medical Center, Nashville, Tennessee 37232, USA.
Misra
Vijay
V
Pierson
Richard N
RN
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D017809:Fatal Outcome; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D017202:Myocardial Ischemia / Q000150:complications / Q000628:therapy*; D009204:Myocardial Revascularization / Q000379:methods*; D012306:Risk; D012770:Shock, Cardiogenic / Q000209:etiology / Q000628:therapy; D017211:Treatment Failure