Cardiogenic shock: collaboration between cardiac surgery and cardiology subspecialties to bridge to recovery.
Acute cardiogenic shock is a lethal condition that results in death from myocardial failure, arrhythmia, or combinations of both. Aggressive medical, surgical, and interventional maneuvers have helped reduce the mortality. For the most advanced cases, ventricular assist devices have been used for persistent shock states. The purpose of this report is to describe the collaboration between cardiac surgery and cardiology subspecialty in an effort to promote native heart recovery in a complex case of cardiogenic shock requiring coronary artery bypass surgery, percutaneous coronary intervention, ventricular ablative therapy, and mechanical cardiac support.
Samuels
Louis E
LE
Department of Cardiothoracic Surgery, Lankenau Hospital, Wynnewood, Pennsylvania 19096, USA. samuelsle@aol.com
Holmes
Elena C
EC
Hagan
Kevin
K
Boova
Robert S
RS
Janzer
Sean
S
Kocovic
Dusan
D
D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D001145:Arrhythmias, Cardiac / Q000209:etiology / Q000628:therapy*; D002309:Cardiology; D002317:Cardiovascular Agents / Q000627:therapeutic use; D017115:Catheter Ablation; D001026:Coronary Artery Bypass; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000601:surgery*; D010348:Patient Care Team; D012770:Shock, Cardiogenic / Q000209:etiology / Q000628:therapy*; D015607:Stents; D013903:Thoracic Surgery
D002317:Cardiovascular Agents