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Updated: Oct 26, 2025

Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Acute Myocardial Infarction With Cardiogenic Shock Due to Pericardial Constriction and Multivessel Coronary
Matthew F Schaikewitz1, Christopher B Nnaoma2, Richard D Meredith3
1Department of Cardiovascular Medicine, Gagnon Cardiovascular Institute, Morristown Medical Center/Atlantic Health System, Morristown, New Jersey.
Insights
A rare case of cardiogenic shock caused by pericardial inflammation leading to coronary artery compression was treated with stenting and mechanical support. Multimodality imaging was crucial for diagnosis.
Area of Science:
- Cardiology
- Medical Imaging
- Pathology
Background:
- Focal pericardial inflammation can cause constriction, leading to rare cardiovascular complications.
- Coronary artery compression is an uncommon cause of cardiogenic shock.
Abstract:
We present a rare case of cardiogenic shock and multivessel coronary compression due to focal pericardial inflammation and constriction. The patient was treated in the acute phase with coronary stenting and temporary mechanical support. Multimodality imaging was essential in elucidating the diagnosis. (Level of Difficulty: Beginner.).
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