Refractory cardiogenic shock due to extensive anterior STEMI with covered left ventricular free wall rupture treated with awake VA-ECMO and LVAD as a double bridge to heart transplantation - collaboration of three cardiac centres

被引：10

作者：

Kacer, Jan ^{[1
]}

Lindovska, Michaela ^{[1
]}

Surovcik, Roman ^{[1
]}

Netuka, Ivan ^{[2
,3
,4
]}

Mlejnsky, Frantisek ^{[3
,4
]}

Grus, Tomas ^{[3
,4
]}

Belohlavek, Jan ^{[5
,6
]}

机构：

[1] Bulovka Hosp, Dept Cardiol, Prague, Czech Republic

[2] IKEM, Dept Cardiovasc Surg, Prague, Czech Republic

[3] Charles Univ Prague, Fac Med 1, Dept Surg 2, Cardiovasc Surg, Prague, Czech Republic

[4] Gen Univ Hosp, Prague, Czech Republic

[5] Charles Univ Prague, Fac Med 1, Dept Cardiovasc Med, Dept Med 2, Prague, Czech Republic

[6] Gen Univ Hosp, Prague, Czech Republic

来源：

BIOMEDICAL PAPERS-OLOMOUC | 2015年 / 159卷 / 04期

关键词：

refractory cardiogenic shock in acute myocardial infarction; percutaneous coronary intervention; extracorporeal membrane oxygenation; left ventricle assist device; ACUTE MYOCARDIAL-INFARCTION; MECHANICAL CIRCULATORY SUPPORT; EXTRACORPOREAL MEMBRANE-OXYGENATION; EARLY REVASCULARIZATION;

D O I：

10.5507/bp.2015.044

中图分类号：

R318 [生物医学工程];

学科分类号：

0831 ;

摘要：

Aim. To highlight an optimal collaborative strategy of three different levels of specialized care cardiac centres. Background. Refractory cardiogenic shock is a life-threatening condition. A myocardial recovery is not achieved in many cases despite all efforts and subsequently the heart transplantation remains an ultimate option. Thereby, the use of extracorporeal membrane oxygenation (ECMO) followed by a ventricular assist device in staged bridging provides an attractive approach. Case report. We report on an optimal cooperation of PCI (percutaneous coronary intervention) centre with ELSO (extracorporeal life support organization) centre and transplant centre in a patient suffering from refractory cardiogenic shock due to acute myocardial infarction (RCSMI) complicated by left ventricle free wall rupture with pericardial tamponade. Conclusion. The interhospital collaboration can be essential in the context of patients with RCSMI. The use of ECMO enables safe interhospital transport and gains time for further diagnostic and therapeutic steps in such critically ill patients.

引用

页码：681 / 687

页数：7