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Percutaneous ventricular assist device in hypertrophic obstructive cardiomyopathy with cardiogenic shock: bridge to

Cihan Cevik1, Ha-uyen Thi Nguyen, Andrew B Civitello

  • 1Division of Adult Cardiology, St. Luke's Episcopal Hospital, Baylor College of Medicine, Houston, Texas 77030, USA.

The Annals of Thoracic Surgery
|February 28, 2012
PubMed

Insights

A 69-year-old woman with hypertrophic obstructive cardiomyopathy and cardiogenic shock was supported by a TandemHeart device. This percutaneous left ventricular assist device served as a bridge to definitive septal myectomy treatment.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery

Background:

  • Hypertrophic obstructive cardiomyopathy (HOCM) is a significant cause of heart failure.
  • End-stage HOCM can lead to cardiogenic shock, a critical condition requiring immediate intervention.

Observation:

  • A 69-year-old female patient presented with end-stage HOCM and subsequent cardiogenic shock.
  • Emergent percutaneous placement of a TandemHeart left ventricular assist device was performed in the catheterization lab.

Findings:

  • The TandemHeart device provided crucial hemodynamic support, acting as a bridge to definitive surgical treatment.
  • Successful bridging allowed for subsequent septal myectomy, addressing the obstructive nature of the cardiomyopathy.

Implications:

  • This case highlights the potential of the TandemHeart as a novel and effective bridge therapy for patients with HOCM and cardiogenic shock.
  • Percutaneous ventricular assist devices may offer a viable strategy to stabilize patients awaiting surgical intervention for advanced HOCM.

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