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Percutaneous atrial septostomy for urgent palliative treatment of severe refractory cardiogenic shock due to right ventricular infarction
Author(s) -
Kernis Steven J.,
Goldstein James,
Yerkey Michael,
Levin Robert N.,
O'Neill William W.
Publication year - 2003
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.10514
Subject(s) - medicine , cardiogenic shock , percutaneous , cardiology , refractory (planetary science) , myocardial infarction , shock (circulatory) , impella , palliative care , physics , nursing , astrobiology
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. Cathet Cardiovasc Intervent 2003;59:44–48. © 2003 Wiley‐Liss, Inc.