Initial report of percutaneous right ventricular assist for right ventricular shock secondary to right ventricular infarction

摘要: A 57-year-old female suffered an acute inferior ST segment elevation myocardial infarction. The patient failed thrombolysis and was urgently transferred for rescue percutaneous coronary intervention of the right artery. She decompensated after reperfusion occluded RCA developed cardiogenic shock from severe heart failure refractory to IABP support maximal pressors. ventricular assist device successfully implanted, which improved mean arterial pressure a viable range allowed withdrawal inotropic medications. Right infarction remains difficult manage has high mortality. Intraaortic balloon pump LVAD have not proven beneficial in secondary RV This is report first insertion human. Further evaluation warranted evaluate potential benefits such as well optimal timing initiation support.