Work

Successful resuscitation of acute cardiogenic shock presenting as ventricular fibrillation via Bipella approach: a case report

Year: 2021

Type: article

Abstract: BACKGROUND: The use of mechanical circulatory support (MCS) in acute myocardial infarction and cardiogenic shock (AMICS) complicated by biventricular failure is poorly discussed in the literature. CASE SUMMARY: We present successful treatment of a 52-year-old old man presenting with AMICS following cardiac arrest and prolonged CPR via a Bipella approach for biventricular support and restoration of haemodynamic stability. DISCUSSION: This case demonstrates the importance of understanding the role of MCS in the management of cardiogenic shock; the value of the cardiac power output and pulmonary artery pulsatility index as haemodynamic metrics to assess the cardiac function of a patient with cardiogenic shock; and the importance of a Bipella MCS approach in high inpatient morbidity and mortality AMICS with biventricular failure.

Source: European Heart Journal - Case Reports

DOI: 10.1093/ehjcr/ytab040

Authors: Dominika M Zoltowska, Yashwant Agrawal, Jean-Yves R Nazroo, Kirit Patel

Institutions: University of Florida Health, University of Florida Health Science Center, Trinity Health Oakland Hospital

Language: English

Topic: Mechanical Circulatory Support Devices

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $726