Percutaneous atrial septostomy for urgent palliative treatment of severe refractory cardiogenic shock due to right ventricular infarction.
We report a novel palliative treatment to improve refractory cardiogenic shock due to right ventricular ischemia. We performed percutaneous atrial septostomy to create an atrial septal defect, which resulted in immediate right ventricular decompression and increased left ventricular filling associated with prompt and dramatic hemodynamic and clinical improvement.
Kernis
Steven J
SJ
Department of Cardiovascular Medicine, William Beaumont Hospital, Royal Oak, Michigan 48073, USA.
Goldstein
James
J
Yerkey
Michael
M
Levin
Robert N
RN
O'Neill
William W
WW
D015906:Angioplasty, Balloon, Coronary; D017548:Echocardiography, Transesophageal; D005471:Fluoroscopy; D006344:Heart Septal Defects, Atrial / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications* / Q000000981:diagnostic imaging; D010166:Palliative Care / Q000379:methods*; D012770:Shock, Cardiogenic / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy*; D015607:Stents; D018487:Ventricular Dysfunction, Left / Q000150:complications* / Q000000981:diagnostic imaging