The use of an implantable left ventricular assist device in a patient with cardiogenic shock following acute myocardial infarction

We report the successful long-term use of an implantable left ventricular assist device in a 42-year old patient who suffered cardiogenic shock after an acute anterior myocardial infarction unresponsive to recanalisation of the infarct-related artery and intra-aortic balloon counterpulsation. Attemp...

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Bibliographic Details
Published in:International journal of cardiology 1998-09, Vol.66 (1), p.55-58
Main Authors: Chua, T.P, Pepper, J.R, Fox, K.M
Format: Article
Language:English
Subjects:
Acute myocardial infarction
Adult
Biological and medical sciences
Cardiogenic shock
Cardiology. Vascular system
Coronary heart disease
Female
Heart
Heart Transplantation
Heart-Assist Devices
Humans
Intra-Aortic Balloon Pumping
Left ventricular assist device
Medical sciences
Myocardial Infarction - complications
Myocardial Infarction - diagnostic imaging
Myocardial Infarction - therapy
Shock, Cardiogenic - diagnostic imaging
Shock, Cardiogenic - etiology
Shock, Cardiogenic - therapy
Treatment Failure
Ultrasonography
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Summary:We report the successful long-term use of an implantable left ventricular assist device in a 42-year old patient who suffered cardiogenic shock after an acute anterior myocardial infarction unresponsive to recanalisation of the infarct-related artery and intra-aortic balloon counterpulsation. Attempts to wean our patient from the assist device were not successful and the patient underwent cardiac transplantation after 35 weeks on device assistance. The intermediate and long-term use of an implantable left ventricular assist device may be lifesaving in post-myocardial infarction cardiogenic shock and may allow sufficient time for any stunned myocardium to recover. Should there be no recovery, the device acts as a bridge to cardiac transplantation.
ISSN:0167-5273
1874-1754
DOI:10.1016/S0167-5273(98)00186-7