Percutaneous atrial septostomy for urgent palliative treatment of severe refractory cardiogenic shock due to right ventricular infarction

Catheter Cardiovasc Interv. 2003 May;59(1):44-8. doi: 10.1002/ccd.10514.

Abstract

We report a novel palliative treatment to improve refractory cardiogenic shock due to right ventricular ischemia. We performed percutaneous atrial septostomy to create an atrial septal defect, which resulted in immediate right ventricular decompression and increased left ventricular filling associated with prompt and dramatic hemodynamic and clinical improvement.

Publication types

  • Case Reports

MeSH terms

  • Angioplasty, Balloon, Coronary
  • Echocardiography, Transesophageal
  • Fluoroscopy
  • Heart Septal Defects, Atrial / diagnostic imaging
  • Heart Septal Defects, Atrial / etiology
  • Heart Septal Defects, Atrial / therapy*
  • Humans
  • Male
  • Middle Aged
  • Myocardial Infarction / complications*
  • Myocardial Infarction / diagnostic imaging
  • Palliative Care / methods*
  • Shock, Cardiogenic / diagnostic imaging
  • Shock, Cardiogenic / etiology
  • Shock, Cardiogenic / therapy*
  • Stents
  • Ventricular Dysfunction, Left / complications*
  • Ventricular Dysfunction, Left / diagnostic imaging