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Ann Thorac Surg 2007;83:1863-1864
© 2007 The Society of Thoracic Surgeons

Case Reports

Cardiogenic Shock: Collaboration Between Cardiac Surgery and Cardiology Subspecialties to Bridge to Recovery

Louis E. Samuels, MDa,*, Elena C. Holmes, CRNPa, Kevin Hagan, CRNPa, Robert S. Boova, MDd, Sean Janzer, MDb, Dusan Kocovic, MDc

a Department of Cardiothoracic Surgery, Lankenau Hospital, Wynnewood, Pennsylvania
b Department of Medicine, Division of Cardiology, Section of Interventional Cardiology, Lankenau Hospital, Wynnewood, Pennsylvania
c Department of Medicine, Division of Cardiology, Section of Electrophysiology, Lankenau Hospital, Wynnewood, Pennsylvania
d Department of Cardiothoracic Surgery, Bryn Mawr Hospital, Bryn Mawr, Pennsylvania

Accepted for publication November 20, 2006.

* Address correspondence to Dr Samuels, The Lankenau Medical Center, Medical Science Bldg, Suite 280, 100 Lancaster Ave, Wynnewood, PA 19096 (Email: samuelsle{at}aol.com).

Acute cardiogenic shock is a lethal condition that results in death from myocardial failure, arrhythmia, or combinations of both. Aggressive medical, surgical, and interventional maneuvers have helped reduce the mortality. For the most advanced cases, ventricular assist devices have been used for persistent shock states. The purpose of this report is to describe the collaboration between cardiac surgery and cardiology subspecialty in an effort to promote native heart recovery in a complex case of cardiogenic shock requiring coronary artery bypass surgery, percutaneous coronary intervention, ventricular ablative therapy, and mechanical cardiac support.






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