Lifesaving artificial heart implantation in acute cardiogenic shock – Case report
█ Case report
Kőszegi Andrea, Pólos Miklós, Fazekas Levente, Sax Balázs, Rácz Kristóf, Németh Endre, Becker Dávid, Gellér László, Hartyánszky István, Merkely Béla
Semmelweis Egyetem, Városmajori Szív- és Érgyógyászati Klinika, Budapest
Nowadays, heart failure is an emerging problem in aging societies. Heart and vascular diseases are leading causes of death in developed countries.
In our case, a 43-year old male patient was admitted to our hospital after reanimation and stabilization because of wide QRS tachycardia and ventricular fibrillation on the basis of delayed diagnosed subacute myocardial infarction. We performed coronaroangiography and percutan intervention. Despite of successful intervention the patient suffered from cardiogenic shock because of therapy refracter ventricular arrhythmias and ischemic dilative cardiomyopathy. We stabilized the patient’s circulation with short term mechanical circulatory support. According to the aetiology of the disease, the patient needed heart transplantation as long term therapy, so we upgraded the short term device to Heartmate 3 left ventricular assist device. The patient is doing well, he has now cardiologic rehabilitation.
This case is a good example, that Heartmate 3 device can be successfully implanted in cardiogenic shock (INTERMACS 2 status) supported by short term mechanical circulatory support complicated by subacute myocardial infarction. This therapy helps the patient to be prepared for a successful heart transplantation.