Mechanical support for postcardiotomy cardiogenic shock: Has progress been made?

Erik A. Sylvin, David R. Stern, Daniel J. Goldstein

Research output: Contribution to journalReview article

31 Scopus citations

Abstract

Postcardiotomy cardiogenic shock (PCCS) complicates 0.2% to 6% of cardiac operations and is a clinical entity fraught with considerable morbidity and mortality. A previous review of this topic by our group suggested that regardless of device, only 25% of patients survived to hospital discharge. In the interim, newer technologies have entered the clinical arena. Additional contributions have been made to the literature and new databases are collecting data that are likely to provide more robust guidance for the management of these very complex patients. In this review, we update the experience of mechanical support in the PCCS patient and provide a strategy to maximize survival for a patient who develops PCCS in the community cardiac surgery center.

Original languageEnglish (US)
Pages (from-to)442-454
Number of pages13
JournalJournal of Cardiac Surgery
Volume25
Issue number4
DOIs
StatePublished - Jul 1 2010

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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