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Use of CentriMag for refractory cardiogenic shock in a puerperal woman: case report
Hospital das Clinicas HCFMUSPPêgo-Fernandes, Paulo Manuel; Hospital das Clinicas HCFMUSPScalabrini Neto, Augusto; Hospital das Clinicas HCFMUSPHajjar, Ludhmila Abrahão; Hospital das Clinicas HCFMUSPCosta, Priscila Berenice da; Hospital das Clinicas HCFMUSPKalil Filho, Roberto; Hospital das Clinicas HCFMUSPJatene, Fabio Biscegli.
  • Hospital das Clinicas HCFMUSPPêgo-Fernandes, Paulo Manuel; Universidade de Sao Paulo. Faculdade de Medicina. Hospital das Clinicas HCFMUSPPêgo-Fernandes, Paulo Manuel. Sao Paulo. BR
  • Hospital das Clinicas HCFMUSPScalabrini Neto, Augusto; Universidade de Sao Paulo. Faculdade de Medicina. Hospital das Clinicas HCFMUSPScalabrini Neto, Augusto. Sao Paulo. BR
  • Hospital das Clinicas HCFMUSPHajjar, Ludhmila Abrahão; Universidade de Sao Paulo. Faculdade de Medicina. Hospital das Clinicas HCFMUSPHajjar, Ludhmila Abrahão. Sao Paulo. BR
  • Hospital das Clinicas HCFMUSPCosta, Priscila Berenice da; Universidade de Sao Paulo. Faculdade de Medicina. Hospital das Clinicas HCFMUSPCosta, Priscila Berenice da. Sao Paulo. BR
  • Hospital das Clinicas HCFMUSPKalil Filho, Roberto; Universidade de Sao Paulo. Faculdade de Medicina. Hospital das Clinicas HCFMUSPKalil Filho, Roberto. Sao Paulo. BR
  • Hospital das Clinicas HCFMUSPJatene, Fabio Biscegli; Universidade de Sao Paulo. Faculdade de Medicina. Hospital das Clinicas HCFMUSPJatene, Fabio Biscegli. Sao Paulo. BR
São Paulo med. j ; 139(4): 412-415, Jul.-Aug. 2021. tab, graf
Article in English | LILACS | ID: biblio-1290238
ABSTRACT
ABSTRACT CONTEXT Heart failure in Brazil is a major public health problem and, even with advances in treatment, it still presents high morbidity and mortality. As a treatment option, mechanical circulatory assist devices (MCADs) have greatly increased in importance over the last decade. CASE REPORT This report concerns a case of refractory cardiogenic shock due to acute myocarditis in a 35-year-old puerperal female patient who presented with retrosternal pain, fatigue and dyspnea. At the hospital, she was diagnosed with myocarditis. There was no improvement in perfusion even after receiving dobutamine, intra-aortic balloon passage (IAB) and venoarterial extracorporeal membrane oxygenation (VA-ECMO). Therefore, it was decided to implant a MCAD (CentriMag). During hospitalization, recovery from the bi-ventricular dysfunction was achieved. The CentriMag device was removed 10 days after it had been implanted, and the patient was discharged after another 8 days. The myocarditis was proven to be due to the Coxsackie virus.

CONCLUSIONS:

The decision to implant a MCAD should be individualized, as patient profiles do not always match the indications in the guidelines and protocols. In this study, clinical discussion of the case among the medical and multi-professional teams was essential in order to be able to successfully reverse the patient's severe clinical condition without sequelae, through using a CentriMag implant.
Subject(s)


Full text: Available Index: LILACS (Americas) Main subject: Extracorporeal Membrane Oxygenation / Heart-Assist Devices / Heart Failure Type of study: Practice guideline / Prognostic study / Qualitative research Limits: Adult / Female / Humans Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2021 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade de Sao Paulo/BR

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Full text: Available Index: LILACS (Americas) Main subject: Extracorporeal Membrane Oxygenation / Heart-Assist Devices / Heart Failure Type of study: Practice guideline / Prognostic study / Qualitative research Limits: Adult / Female / Humans Language: English Journal: São Paulo med. j Journal subject: Cirurgia Geral / Ciˆncia / Ginecologia / Medicine / Medicina Interna / Obstetr¡cia / Pediatria / Sa£de Mental / Sa£de P£blica Year: 2021 Type: Article Affiliation country: Brazil Institution/Affiliation country: Universidade de Sao Paulo/BR