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KMID : 1155520120070040333
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Anesthesia and Pain Medicine
2012 Volume.7 No. 4 p.333 ~ p.337
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Successful use of percutaneous cardiopulmonary support in patients with cardiogenic shock due to myocardial infarction -Report of two cases-
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Byun Sung-Hye
Lee Hyun-Jung
Cho Joon-Yong
Han Jae-Kyung
Lee Jeong-Eun
Kim Jong-Chan
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Abstract
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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. (Anesth Pain Med 2012; 7: 333∼337)
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KEYWORD
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Cardiac surgery, Cardiogenic shock, Percutaneous cardiopulmonary support
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