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Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock
Published on: June 12, 2021
Management of Spontaneous Coronary Dissection Complicated by Cardiogenic Shock: A Case Report
Daniel Grüter1,2, Thomas Seiler1, Chiara Schaffner1
1Cardiology Division Heart Center-Luzerner Kantonsspital Luzern Switzerland.
None:
Spontaneous coronary artery dissection (SCAD) is a rare cause of acute coronary syndrome with debated optimal treatment in the setting of cardiogenic shock (CS). We report a case of a middle-aged woman presenting with out-of-hospital cardiac arrest due to extensive multivessel SCAD. Without evidence for transmural ischemia, we chose conservative treatment with single antiplatelet therapy and heparin. Due to deteriorating hemodynamics, a temporary left ventricular assist device (Impella) was implanted, stabilizing the patient. After weaning the device and initiating heart failure therapy, the patient recovered completely. This case highlights several important considerations for the management of SCAD patients with CS.
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