Anesth Pain Med.  2012 Oct;7(4):333-337.

Successful use of percutaneous cardiopulmonary support in patients with cardiogenic shock due to myocardial infarction: Report of two cases

• Byun SH
• Lee HJ
• Cho JY
• Han JK
• Lee JE
• Kim JC

Abstract

Percutaneous cardiopulmonary support (PCPS) is accepted as a very helpful mechanical support available for patients with cardiogenic shock unresponsive to medical treatment and intra-aortic balloon pump (IABP). Although the indication criteria or guidelines for the application of PCPS have not been established, several reports demonstrate that the early initiation of PCPS allows for good clinical outcomes in patients suffering cardiogenic shock. We experienced two patients that required PCPS before and after emergent cardiotomy to correct ventricular septal defect and left ventricular rupture due to myocardial ischemia, respectively. Herein, we report these cases to emphasize that the early application of PCPS is essential to improve the clinical outcomes in patients with severe cardiogenic shock.

Keyword

Cardiac surgery; Cardiogenic shock; Percutaneous cardiopulmonary support

MeSH Terms

Heart Septal Defects, Ventricular
Humans
Myocardial Ischemia
Rupture
Shock, Cardiogenic
Stress, Psychological
Thoracic Surgery