eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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1/2008
vol. 5
 
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Niewydolność serca i płuc, transplantologia
Treatment of acute heart failure. Clinical cases

Krzysztof Jarmoszewicz
,
Piotr Siondalski
,
Rafał Pawlaczyk
,
Maciej Brzeziński
,
Jan Rogowski

Kardiochirurgia i Torakochirurgia Polska 2008; 5 (1): 52–55
Online publish date: 2008/03/20
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Dramatically developing cardiogenic shock is a rare but very important clinical problem. Mostly it is caused by ischaemia of the heart, myocarditis, decompensated chronic heart failure and postcardiotomy syndrome. If this problem is associated with peripheral hypoperfusion and irreversible multiorgan failure, mortality is extremely high despite aggressive medical therapy. The authors describe 7 cases of acute heart failure with cardiogenic shock. In all cases a biventricular mechanical support device (POLVAD) was implanted as a consequence of unsuccessful aggressive medical therapy. Two patients died, three patients reached full recovery and successful weaning from the support device, two patients were bridged to heart transplantations.
keywords:

heart failure, mechanical support device
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