title: ["Bridge to recovery"- implantation of an Impella® CP in infarct-related cardiogenic shock].
abstract: We present the case of a 43-year-old man with the diagnosis of a posterior and anterior wall infarction who was taken to our institution after prolonged cardioplumonary resuscitation. Cardiac catheterization showed thrombotic occlusion of the LAD and a subtotal stenosis of the right coronary artery. Both lesions were revascularized by PCI. Despite catecholamine infusion, the patient developed severe cardiogenic shock with multiorgan dysfunction syndrome under therapeutic hypothermia. Thus, an Impella® CP, a percutaneous left ventricular assist device (LVAD), was implanted. Due to effective LVAD support, it was possible to wean and remove the device after 75 h of support. The impaired left ventricular ejection fraction and wall-motion abnormalities which were present on day 1 achieved complete recuperation on day 14. The patient was discharged without any neurological deficits.
authors.affiliation: Medizinische Klinik I, Dr. Horst Schmidt Kliniken (HSK) Wiesbaden, Ludwig-Erhard-Str. 100, 65199, Wiesbaden, Deutschland, georg.froehlich@hsk-wiesbaden.de.
authors.forename: G
authors.initials: G
authors.lastname: Fröhlich
authors.forename: A
authors.initials: A
authors.lastname: Pibernik
authors.forename: M
authors.initials: M
authors.lastname: Ferrari
mesh_terms: D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D016887:Cardiopulmonary Resuscitation / Q000379:methods; D017023:Coronary Angiography; D003422:Critical Care / Q000379:methods; D020878:Device Removal; D004452:Echocardiography; D004562:Electrocardiography; D006353:Heart-Assist Devices; D006801:Humans; D007036:Hypothermia, Induced; D019344:Lactic Acid / Q000097:blood; D008297:Male; D009102:Multiple Organ Failure / Q000601:surgery; D009203:Myocardial Infarction / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D012770:Shock, Cardiogenic / Q000601:surgery*
chemical_list: D019344:Lactic Acid