title: Percutaneous right ventricular assist via the internal jugular vein in cardiogenic shock complicating an acute inferior myocardial infarction.
abstract: Management of right heart failure in acute myocardial infarction (AMI) includes emergent reperfusion of the infarct-related artery, fluid resuscitation, vasopressor and inotropic support, and trans-venous pacing in the presence of high-grade atrio-ventricular conduction block. Historically, mechanical support for right ventricular failure after an AMI has been limited to intra-aortic balloon pump (IABP) counterpulsation or surgically placed ventricular assist devices. Recently, a percutaneous right ventricular assist device (pRVAD, TandemHeart; CardiacAssist Inc., Pittsburgh, Pennsylvania) has offered an intermediate alternative for patients with refractory right heart failure in the setting of AMI. We describe a novel approach to pRVAD implantation via the right internal jugular vein in the setting of cardiogenic shock secondary to an acute inferior myocardial infarction.
authors.affiliation: Tufts Medical Center, Division of Cardiology, Boston, MA 02111, USA.
authors.forename: Michael S
authors.initials: MS
authors.lastname: Kiernan
authors.forename: Barath
authors.initials: B
authors.lastname: Krishnamurthy
authors.forename: Navin K
authors.initials: NK
authors.lastname: Kapur
mesh_terms: D054058:Acute Coronary Syndrome / Q000150:complications / Q000628:therapy; D006333:Heart Failure / Q000150:complications / Q000628:therapy; D006353:Heart-Assist Devices; D006801:Humans; D007601:Jugular Veins; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D019919:Prosthesis Implantation / Q000379:methods*; D012770:Shock, Cardiogenic / Q000150:complications* / Q000628:therapy*