Why the study?
Cardiogenic shock complicating acute myocardial infarction poses high morbidity and mortality, particularly when mechanical complications such as papillary muscle rupture occur.
ECMO can serve as an effective rescue therapy for patients with refractory post-cardiotomy cardiogenic shock following mechanical complications of acute myocardial infarction.
Medical optimization may stabilize post-MI papillary rupture shock; leaves open optimal intervention timing in larger series.
Cardiogenic shock is a constant challenge for the intensivist when complicating a myocardial infarction, due to the high rate of associated morbidity and mortality, especially in the setting of mechanical complications such as papillary muscle rupture. We present the case of a 49-year-old woman with cardiogenic shock due to acute myocardial infarction (AMI) complicated by severe mitral valve insufficiency due to papillary muscle rupture. She was treated initially by medical optimization, followed by mitral valve replacement and complete surgical revascularization, requiring rescue mechanical circulatory support by extracorporeal membrane oxygenation (ECMO). ECMO proved to be a rescue therapy in a patient with refractory cardiogenic shock after urgent cardiac surgery.
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Ştefan et al. (2020) studied this question.
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