2019 Volume 26 Issue 5 Pages 396-400
We encountered a patient who suffered from multiple organ failure with cardiogenic shock due to myocardial infarction, and was implanted with an extracorporeal ventricular assist device (e-VAD), which was subsequently replaced by an implantable ventricular assist device (i-VAD), and discharged. A 28-year-old man, presented with acute myocardial infarction due to very late stent thrombosis in the left anterior descending coronary artery (LAD) and diagonal branch. Although emergent balloon angioplasty was performed and reperfusion was achieved, stent thrombosis recurred. Because of preexisting chronic total occlusion of the left circumflex artery, the patient underwent coronary artery bypass surgery for complete revascularization. However, postoperative course was complicated with multiple organ failure due to cardiogenic shock, an e-VAD was placed. Subsequently, although he recovered from the multiple organ failure, the cardiac functions were not improved, precluding removal of the ventricular assist device. Thus, after registration for cardiac transplantation, the e-VAD was replaced by an i-VAD. Since then, he made satisfactory progress and was discharged from the hospital, and is currently waiting for cardiac transplantation at home.
