Percutaneous atrial septostomy for urgent palliative treatment of severe refractory cardiogenic shock due to right ventricular infarction

Percutaneous atrial septostomy for urgent palliative treatment of severe refractory cardiogenic shock due to right ventricular infarction

We report a novel palliative treatment to improve refractory cardiogenic shock due to right ventricular ischemia. We performed percutaneous atrial septostomy to create an atrial septal defect, which resulted in immediate right ventricular decompression and increased left ventricular filling associat...

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Veröffentlicht in:Catheterization and cardiovascular interventions 2003-05, Vol.59 (1), p.44-48
Hauptverfasser: Kernis, Steven J., Goldstein, James, Yerkey, Michael, Levin, Robert N., O'Neill, William W.
Format: Artikel
Sprache:eng
Schlagworte:
Angioplasty, Balloon, Coronary
atrial heart septal defects
Biological and medical sciences
Diseases of the cardiovascular system
Echocardiography, Transesophageal
Fluoroscopy
Heart Septal Defects, Atrial - diagnostic imaging
Heart Septal Defects, Atrial - etiology
Heart Septal Defects, Atrial - therapy
Humans
Male
Medical sciences
Middle Aged
Myocardial Infarction - complications
Myocardial Infarction - diagnostic imaging
myocardial ischemia
Palliative Care - methods
Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects)
right ventricular dysfunction
Shock, Cardiogenic - diagnostic imaging
Shock, Cardiogenic - etiology
Shock, Cardiogenic - therapy
Stents
Ventricular Dysfunction, Left - complications
Ventricular Dysfunction, Left - diagnostic imaging
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Zusammenfassung:We report a novel palliative treatment to improve refractory cardiogenic shock due to right ventricular ischemia. We performed percutaneous atrial septostomy to create an atrial septal defect, which resulted in immediate right ventricular decompression and increased left ventricular filling associated with prompt and dramatic hemodynamic and clinical improvement. Cathet Cardiovasc Intervent 2003;59:44–48. © 2003 Wiley‐Liss, Inc.
ISSN:1522-1946
1522-726X
DOI:10.1002/ccd.10514