Cardiogenic shock in a young woman with SCAD: The importance of early access to VA-ECMO in the community
Recommended Citation
Ya'Qoub L, Alqarqaz M, Cowger J, Nemeh H, Basir MB, Alaswad K, and Koenig G. Cardiogenic shock in a young woman with SCAD: The importance of early access to VA-ECMO in the community. Cardiovasc Revasc Med 2023.
Document Type
Article
Publication Date
6-24-2023
Publication Title
Cardiovasc Revasc Med
Abstract
Spontaneous coronary artery dissection (SCAD) is a common cause of myocardial infarction in young and middle-aged women. Patients with SCAD present rarely with hemodynamic collapse and cardiogenic shock, requiring immediate resuscitation and mechanical circulatory support. Percutaneous mechanical circulatory support may serve as a bridge to recovery, decision or heart transplantation. We present a case of a young woman with SCAD of the left main coronary artery, presenting with ST-elevation myocardial infarction, cardiac arrest and cardiogenic shock. She was stabilized emergently with Impella and early escalation with extracorporeal membrane oxygenation (ECPELLA) at a non-surgical community hospital. Despite revascularization with percutaneous coronary intervention (PCI), her left ventricular recovery was poor, and ultimately required cardiac transplantation on day 5 of her presentation.
Medical Subject Headings
Humans; Heart Valve Prosthesis Implantation; Heart Valve Diseases; Nurses
PubMed ID
37385894
ePublication
ePub ahead of print
First Page
357
Last Page
378
