Скачать или смотреть CARDIAC DEVICE IN LEFT CAVITIES - CLINICAL & ECHOCARDIOGRAPHY MCS CASE (CICU CHALLENGE 001)

Welcome to the first episode of our CICU Challenges series, where real clinical scenarios from the cardiovascular intensive care unit are analyzed step by step to enhance practical learning.

In this case, a 53-year-old male patient with a history of smoking is admitted in cardiogenic shock due to an evolved anterolateral myocardial infarction. After emergent percutaneous coronary intervention and veno-arterial ECMO support, the patient develops severe left ventricular distention.

We explore the decision to switch to a left-sided CentriMag ventricular assist device and review its unique surgical approach—via right minithoracotomy and cannulation through the right superior pulmonary vein. Using transthoracic echocardiography, we identify the device within the left heart chambers and explain its anatomical course.

This video highlights key imaging findings and practical considerations in mechanical circulatory support, making it ideal for intensivists, cardiologists, and echocardiographers.

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