Percutaneous cardiopulmonary support as a bridge to emergency operation - Two surviving cases

Two patients had percutaneous cardiopulmonary support (PCPS) used as a brid ge to emergency surgery. A 66-year-old man admitted with profound cardiogen ic shock underwent direct stenting under PCPS with the diagnosis of acute m yocardial infarction of the left main trunk, with the intention of performi ng revasculization as soon as possible. Subsequently, double coronary arter y bypass grafting was successfully accomplished. A 69-year-old woman. admit ted with acute heart failure due to critical aortic stenosis, manifested ca rdiogenic shock while undergoing catheterization. PCPS was immediately inst ituted until the acute deterioration of her hemodynamic state could be reve rsed, and was continued uneventfully till aortic valve replacement was perf ormed. These results suggest that the current PCPS system is an effective r esponse to acute circulatory collapse and will contributed to the improved survival of patients.