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Ann Thorac Surg 2008;86:637-639. doi:10.1016/j.athoracsur.2008.01.038
© 2008 The Society of Thoracic Surgeons
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Igor D. Gregoric
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Right arrow Mechanical Circulatory Assistance

Case Reports

Percutaneous Ventricular Assist Device Support During Off-Pump Surgical Coronary Revascularization

Igor D. Gregoric, MD*, Gregor Poglajen, MD, Matjaz Span, MD, O.H. Frazier, MD, Pranav Loyalka, MD, Biswajit Kar, MD

Department of Cardiac Transplantation and Heart Failure, Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, Texas

Accepted for publication January 11, 2008.

* Address correspondence to Dr Gregoric, P.O. Box 20345, MC 2-114A, Houston, TX 77225-0345 (Email: epongratz{at}heart.thi.tmc.edu).

Intraaortic balloon pump counterpulsation has been used for mechanical circulatory support in cardiogenic shock patients, but percutaneous left ventricular assist devices can provide superior circulatory support in the same group of patients. We describe the case of a patient in cardiogenic shock after a myocardial infarction. A percutaneous ventricular assist device was used to provide immediate active hemodynamic support, and, because the patient's condition necessitated surgical revascularization, percutaneous left ventricular assist device support was continued during off-pump coronary artery bypass.






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