ECMELLA: Uso combinado de dispositivos de asistencia ventricular izquierda en el manejo del shock cardiogénico postinfarto agudo al miocardio / Combined use of left ventricular assist devices in cardiogenic shock. Report of one case
Rev. méd. Chile
;
148(3): 409-413, mar. 2020. graf
Artigo
em Espanhol
| LILACS
| ID: biblio-1115807
ABSTRACT
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.
Texto completo:
DisponíveL
Índice:
LILACS (Américas)
Assunto principal:
Choque Cardiogênico
/
Coração Auxiliar
/
Disfunção Ventricular Esquerda
Limite:
Feminino
/
Humanos
Idioma:
Espanhol
Revista:
Rev. méd. Chile
Assunto da revista:
Medicina
Ano de publicação:
2020
Tipo de documento:
Artigo
País de afiliação:
Chile
/
Itália
Instituição/País de afiliação:
Gran Ospedale Metropolitano Niguarda/IT
/
Hospital Sótero del Río/CL
/
Pontificia Universidad Católica de Chile/CL
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