Acute right ventricular failure in a patient with nonischemic cardiogenic shock on left-sided mechanical circulatory support

J Card Surg. 2021 Oct;36(10):3884-3888. doi: 10.1111/jocs.15756. Epub 2021 Jun 20.

Abstract

We report a case of acute right ventricular failure in a patient with cardiogenic shock on left-sided mechanical circulatory support with Impella 5.0. The patient was successfully bridged to heart transplantation using additional right-sided support with Protek Duo. Key learning points of the case include prompt recognition of acute right ventricular failure in patients on left-sided support, early consideration of right-ventricular mechanical support platforms, and timely deployment of right-sided mechanical support.

Keywords: cardiovascular pathology; transplant.

Publication types

  • Case Reports

MeSH terms

  • Heart Failure* / complications
  • Heart Transplantation*
  • Heart-Assist Devices*
  • Humans
  • Shock, Cardiogenic / etiology
  • Shock, Cardiogenic / therapy
  • Treatment Outcome