Successful weaning of a left ventricular assist device implanted for ischemic heart failure.
We report the case of a patient stabilized under extra-corporeal membrane oxygenation after a refractory cardiogenic shock following myocardial infarction. Persistent left ventricular failure required secondary implantation of the left ventricular assist device (LVAD) HeartMate II. LVAD succeeded in the gradual recovery of myocardial contractility, allowing weaning of the device five months after implantation. Simultaneously, the patient beneficiated from coronary revascularization and resumed normal activity. This case emphasizes potential late recoveries after myocardial infarction complicated by left ventricular failure.
Beurtheret
Sylvain
S
Service de chirurgie thoracique et cardiovasculaire, Groupe Hospitalier Pitié Salpêtrière, APHP, Université Paris 6, Paris, France. sylvain.beurtheret@psl.aphp.fr
Mordant
Pierre
P
Pavie
Alain
A
Leprince
Pascal
P
D005260:Female; D006333:Heart Failure / Q000209:etiology / Q000601:surgery*; D006353:Heart-Assist Devices; D006801:Humans; D008875:Middle Aged; D009203:Myocardial Infarction / Q000150:complications*; D020127:Recovery of Function