PMID- 33978133
OWN - NLM
STAT- MEDLINE
DCOM- 20211022
LR  - 20221102
IS  - 1806-9460 (Electronic)
IS  - 1516-3180 (Print)
IS  - 1516-3180 (Linking)
VI  - 139
IP  - 4
DP  - 2021 Jul-Aug
TI  - Use of CentriMag for refractory cardiogenic shock in a puerperal woman: case 
      report.
PG  - 412-415
LID - 10.1590/1516-3180.2020.0775.18022021 [doi]
AB  - CONTEXT: Heart failure in Brazil is a major public health problem and, even with 
      advances in treatment, it still presents high morbidity and mortality. As a 
      treatment option, mechanical circulatory assist devices (MCADs) have greatly 
      increased in importance over the last decade. CASE REPORT: This report concerns a 
      case of refractory cardiogenic shock due to acute myocarditis in a 35-year-old 
      puerperal female patient who presented with retrosternal pain, fatigue and 
      dyspnea. At the hospital, she was diagnosed with myocarditis. There was no 
      improvement in perfusion even after receiving dobutamine, intra-aortic balloon 
      passage (IAB) and venoarterial extracorporeal membrane oxygenation (VA-ECMO). 
      Therefore, it was decided to implant a MCAD (CentriMag). During hospitalization, 
      recovery from the bi-ventricular dysfunction was achieved. The CentriMag device 
      was removed 10 days after it had been implanted, and the patient was discharged 
      after another 8 days. The myocarditis was proven to be due to the Coxsackie 
      virus. CONCLUSIONS: The decision to implant a MCAD should be individualized, as 
      patient profiles do not always match the indications in the guidelines and 
      protocols. In this study, clinical discussion of the case among the medical and 
      multi-professional teams was essential in order to be able to successfully 
      reverse the patient's severe clinical condition without sequelae, through using a 
      CentriMag implant.
FAU - Pego-Fernandes, Paulo Manuel
AU  - Pego-Fernandes PM
AUID- ORCID: 0000-0001-7243-5343
AD  - MD, PhD. Full Professor, Thoracic Surgery Division, Instituto do Coracao, 
      Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, 
      Sao Paulo, SP, BR; and Cardiothoracic Surgeon, Hospital Sirio Libanes (HSL), Sao 
      Paulo (SP), Brazil.
FAU - Scalabrini Neto, Augusto
AU  - Scalabrini Neto A
AUID- ORCID: 0000-0002-6922-215X
AD  - MD, PhD. Member of the Scientific Committee, Cardiology Center, Hospital Sirio 
      Libanes (HSL), Sao Paulo (SP), Brazil; and Associate Professor, Emergency Clinic, 
      Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, 
      Sao Paulo, SP, BR.
FAU - Hajjar, Ludhmila Abrahao
AU  - Hajjar LA
AUID- ORCID: 0000-0001-5645-2055
AD  - MD, PhD. Medical Supervisor of Cardio-Oncology, Instituto do Coracao, Hospital 
      das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao 
      Paulo, SP, BR.
FAU - Costa, Priscila Berenice da
AU  - Costa PBD
AUID- ORCID: 0000-0001-9696-010X
AD  - PhD. Registered Nurse, Thoracic Surgery Division, Instituto do Coracao, Hospital 
      das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao 
      Paulo, SP, BR.
FAU - Kalil Filho, Roberto
AU  - Kalil Filho R
AUID- ORCID: 0000-0002-1033-3672
AD  - MD, PhD. Full Professor, Cardiology Division, Instituto do Coracao, Hospital das 
      Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, Sao Paulo, 
      SP, BR; and General Director of the Cardiology Center, Hospital Sirio Libanes 
      (HSL), Sao Paulo (SP), Brazil.
FAU - Jatene, Fabio Biscegli
AU  - Jatene FB
AUID- ORCID: 0000-0001-6175-5595
AD  - MD, PhD. Full Professor, Cardiovascular Surgery Division, Instituto do Coracao, 
      Hospital das Clinicas HCFMUSP, Faculdade de Medicina, Universidade de Sao Paulo, 
      Sao Paulo, SP, BR; and Cardiovascular Surgeon, Hospital Sirio Libanes (HSL), Sao 
      Paulo (SP), Brazil.
LA  - eng
PT  - Case Reports
PL  - Brazil
TA  - Sao Paulo Med J
JT  - Sao Paulo medical journal = Revista paulista de medicina
JID - 100897261
SB  - IM
MH  - Adult
MH  - Disease Progression
MH  - *Extracorporeal Membrane Oxygenation
MH  - Female
MH  - *Heart Failure/therapy
MH  - *Heart-Assist Devices
MH  - Humans
MH  - Shock, Cardiogenic/therapy
PMC - PMC9615594
COIS- Conflict of interest: None
EDAT- 2021/05/13 06:00
MHDA- 2022/11/03 06:00
PMCR- 2021/05/10
CRDT- 2021/05/12 08:56
PHST- 2020/12/21 00:00 [received]
PHST- 2021/02/18 00:00 [accepted]
PHST- 2021/05/13 06:00 [pubmed]
PHST- 2022/11/03 06:00 [medline]
PHST- 2021/05/12 08:56 [entrez]
PHST- 2021/05/10 00:00 [pmc-release]
AID - S1516-31802021005010205 [pii]
AID - 10.1590/1516-3180.2020.0775.18022021 [doi]
PST - ppublish
SO  - Sao Paulo Med J. 2021 Jul-Aug;139(4):412-415. doi: 
      10.1590/1516-3180.2020.0775.18022021.