SciELO - Scientific Electronic Library Online

 
vol.138 número6Trombosis de senos venosos encefálicos como posible primera manifestación de enfermedad de Behçet: Caso clínicoLas expectativas futuras de la interleukina (IL)-35 índice de autoresíndice de materiabúsqueda de artículos
Home Pagelista alfabética de revistas  

Revista médica de Chile

versión impresa ISSN 0034-9887

Resumen

VILLAVICENCIO, AURICIO et al. Four-week Levitronix Centrimag® bridge-to-transplant for post myocardial infarction cardiogenic shock: A case report. Rev. méd. Chile [online]. 2010, vol.138, n.6, pp. 752-757. ISSN 0034-9887.  http://dx.doi.org/10.4067/S0034-98872010000600014.

Cardiogenic shock after myocardial infarction has a high mortality even if early revascularization is achieved. Biventricular assist devices have not been used in Chile in this critical setting. We report a case of a 55 year-old diabetic man who suffered an acute chest pain and ventricular fibrillation. Prompt outside hospital defibrillation/ reanimation restored pulse and allowed emergency room transfer on mechanical ventilation. Electrocardiogram showed an anterior myocardial infarction and early revascularization was achieved by anterior descending artery angioplasty. However, severe cardiogenic shock continued in spite of inotropic and intra aortic balloon pump support. Levitronix Centrimag® biventricular mechanical circulatory support was inserted during reanimation for recurrent ventricular fibrillation and the patient listed for urgent cardiac transplantation upon stabilization. Heart transplantation was performed successfully 28 days later and the patient was discharged after a 21-day recovery period. Twelve months after transplant the patient is in NYHA functional class I with normal biventricular function. Levitronix Centrimag® biventricular mechanical circulatory support could be used successfully as a bridge-to-transplant for myocardial infarction cardiogenic shock.

Palabras llave : Heart transplantation; Myocardial infarction; Shock, cardiogenic.

        · texto en Español     · pdf en Español