Successful use of percutaneous cardiopulmonary support in patients with cardiogenic shock due to myocardial infarction: Report of two cases

Byun, Sung Hye; Lee, Hyun Jung; Cho, Joon Yong; Han, Jae Kyung; Lee, Jeong Eun; Kim, Jong Chan

Case Report

Neuroanesthesia

Anesthesia and Pain Medicine 2012;7(4):333-337.
Published online October 31, 2012.

Successful use of percutaneous cardiopulmonary support in patients with cardiogenic shock due to myocardial infarction: Report of two cases

Sung Hye Byun, Hyun Jung Lee, Joon Yong Cho, Jae Kyung Han, Jeong Eun Lee, Jong Chan Kim

¹Department of Anesthesiology and Pain Medicine, Kyungpook National University Hospital, Daegu, Korea. aescula72@hanmail.net
²Division of Cardiovascular Surgery, Kyungpook National University Hospital, Daegu, Korea.

Abstract

Percutaneous cardiopulmonary support (PCPS) is accepted as a very helpful mechanical support available for patients with cardiogenic shock unresponsive to medical treatment and intra-aortic balloon pump (IABP). Although the indication criteria or guidelines for the application of PCPS have not been established, several reports demonstrate that the early initiation of PCPS allows for good clinical outcomes in patients suffering cardiogenic shock. We experienced two patients that required PCPS before and after emergent cardiotomy to correct ventricular septal defect and left ventricular rupture due to myocardial ischemia, respectively. Herein, we report these cases to emphasize that the early application of PCPS is essential to improve the clinical outcomes in patients with severe cardiogenic shock.

Key Words: Cardiac surgery, Cardiogenic shock, Percutaneous cardiopulmonary support