ECMELLA: Uso combinado de dispositivos de asistencia ventricular izquierda en el manejo del shock cardiogénico postinfarto agudo al miocardio
| Autor: | José Luis Winter, Francesco Soriano, Jacopo Oreglia, René Hameau D., Dante Lindefjeld, Jorge Quitral, Martín Valdebenito, Nicolás Veas, Rodrigo Muñoz |
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| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
business.industry medicine.medical_treatment Cardiogenic shock Shock Cardiogenic General Medicine medicine.disease Hypoxemia Ventricular Dysfunction Left Shock (circulatory) Internal medicine Occlusion medicine Extracorporeal membrane oxygenation Cardiology Heart-Assist Devices medicine.symptom Transthoracic echocardiogram business Atrioventricular block Impella |
| Zdroj: | Revista médica de Chile v.148 n.3 2020 SciELO Chile CONICYT Chile instacron:CONICYT |
| ISSN: | 0034-9887 |
| DOI: | 10.4067/s0034-98872020000300409 |
| Popis: | We report a 55-year-old woman with a history of hypothyroidism and type 2 diabetes mellitus who consulted at the emergency room because of intermittent oppressive chest discomfort. At admission, electrocardiogram showed a complete atrioventricular block. A transthoracic echocardiogram disclosed severe left ventricular dysfunction. The patient developed cardiogenic shock that required the installation of the Impella system. An emergency coronary angiography showed an ostial occlusion of the anterior descending artery. Despite successful primary angioplasty, she persisted with refractory shock and progressive hypoxemia. A concomitant connection to the extracorporeal membrane oxygenation system (ECMO) was decided. The support of both devices allowed the stabilization of the patient and the improvement of perfusion parameters. |
| Databáze: | OpenAIRE |
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