Niya Boykova Mileva*, Dobrin Iotkov Vassilev and Liliya Mihaylova Vladimirova
Department of Cardiology, Alexandrovska University Hospital, BulgariaFulltext PDF
Background: Intra-aortic balloon pump is one of the most frequently used circulatory assist device in cardiogenic shock. However, plenty of patients with low cardiac output shock from non-cardiogenic origin require additional supportive therapy apart from conventional treatment measures.
Case Presentation: We describe two clinical cases of patients with circulatory insufficiency presenting in low cardiac output state. The first one was admitted in our department with urosepsis and presented with low cardiac output and hemodynamic compromise. The second case was with hemorrhagic shock after puncture site complication. Both of the patients stayed refractive to conventional treatment measures and were stabilized by virtue of intra-aortic balloon counter pulsation.
Conclusion: We describe two cases that illustrate the role of IABP support in patients with circulatory insufficiency from non-cardiogenic origin and discuss the possible mechanisms of overall hemodynamics stabilization.
Counterpulsation; Septic shock; Hemorrhagic shock
Mileva NB, Vassilev DI, Vladimirova LM. Intra-Aortic Balloon Counterpulsation in Low Cardiac Output Noncardiogenic Shock - Case Report and Review. Ann Clin Case Rep. 2020; 5: 1851..