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

Eur Heart J Case Rep. 2021 Feb 11;5(2):ytab040. doi: 10.1093/ehjcr/ytab040. eCollection 2021 Feb.

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.

Keywords: Cardiac assist devices; Case report; Left heart catheterization; Myocardial infarction; Percutaneous coronary intervention; Right heart catheterization; Ventricular fibrillation.

Publication types

  • Case Reports