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Revista médica de Chile · Mar 2020
Case Reports[Combined use of left ventricular assist devices in cardiogenic shock. Report of one case].
- René Hameau D, Francesco Soriano, Jacopo Oreglia, Rodrigo Muñoz, José Luis Winter, Martín Valdebenito, Jorge Quitral, Dante Lindefjeld, and Nicolas Veas.
- Programa de Cardiología Intervencional, Escuela de Postgrado, Pontificia Universidad Católica de Chile, Santiago, Chile.
- Rev Med Chil. 2020 Mar 1; 148 (3): 409-413.
AbstractWe 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.
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