A Novel Therapy for the Failing Right Ventricle in Acute Myocardial Infarction: The First Reported Cases.

Abstract

The presence of right ventricular failure (RVF) following a myocardial infarction significantly exacerbates short-term mortality(1). Successful percutaneous coronary intervention (PCI) benefits patients with cardiogenic shock (CS) complicating acute myocardial infarction(AMI) (2). When conventional treatment proves ineffective, the utilization of mechanical circulatory support (MCS) , such as right ventricle assist devices, may be considered (3). Regrettably, a considerable number of patients decline MCS due to financial constraints. Given these circumstances, we investigated to discuss two cases of AMI from right ventricular infarct with CS treated with fluid administration via the pulmonary artery catheter (PAC).