The combination of a percutaneous LVAD and subacute CRT-D implantation successfully treated a patient with refractory cardiogenic shock.
Should not change practice after single case; hypothesis-generating for combined LVAD and subacute CRT-D in refractory shock.
Cardiogenic shock has a poor prognosis with established treatment strategies. We report a 62 years old man with heart failure exacerbating into refractory cardiogenic shock successfully treated with the combination of a percutaneous left ventricular assist device (LVAD) and subacute cardiac resynchronization therapy (CRT) implantable cardioverter-defibrillator device (CRT-D).
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Keilegavlen et al. (2010) studied this question.
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