Transesophageal guided left atrial positioning of a percutaneous ventricular assist device.
Cardiogenic shock in the setting of myocardial infarction continues to represent a high proportion of immediate mortality in this patient population, despite ongoing advances in thrombolytics, PCI, and medical management of AMI. We present a case of peri-MI cardiogenic shock necessitating deployment of a percutaneous ventricular assist device (pVAD). TEE guidance played a crucial role in optimal positioning of the venous cannula in the left atrium.
Kooshkabadi
Mohammad
M
Emory University School of Medicine, Atlanta, GA 30322, USA. mkooshk@emory.edu
Kalogeropoulos
Andreas
A
Babaliaros
Vasilis C
VC
Lerakis
Stamatios
S
D006348:Cardiac Surgical Procedures / Q000379:methods*; D009202:Cardiomyopathies / Q000209:etiology; D017548:Echocardiography, Transesophageal; D006325:Heart Atria; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications; D012770:Shock, Cardiogenic / Q000209:etiology / Q000628:therapy*