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Case Report
Volume 3, Issue 2

Stunned: A Rare Case of Bi-Pella as a Bridge to Recovery for Biventricular Failure in the Setting of Myocardial Stunning

Alfredo Toll1*, Ernesto Perez Colome1, Ana Suarez1, Daniel Diez1, Joel Brooks3, Ulises Ley1, Jose Gascon1 and Hector Crespo2

1Internal Medicine Department, HCA Florida Kendall Hospital, SW 40th Street, Miami, Florida
2Cardiology Department, HCA Florida Kendall Hospital, SW 40th Street, Miami, Florida
3Cardiology Department, HCA Florida Aventura Hospital, Biscayne Blvd, Aventura, Florida

*Corresponding author: Alfredo Toll, Internal Medicine Department, HCA Florida Kendall Hospital, SW 40th Street, Miami, Florida, United States.

Received: April 22, 2023; Accepted: May 01, 2023; Published: May 15, 2023

Citation: Toll A, Colome EP, Suarez A, et al. Stunned: A Rare Case of Bi-Pella as a Bridge to Recovery for Biventricular Failure in the Setting of Myocardial Stunning. Case Rep Clin Cardiol J. 2023; 3(2): 128.

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Stunned: A Rare Case of Bi-Pella as a Bridge to Recovery for Biventricular Failure in the Setting of Myocardial Stunning
Abstract

Myocardial stunning (MS) is characterized by prolonged post-ischemic ventricular dysfunction that occurs after brief periods of nonlethal ischemia. Stunned myocardium has been described following thrombolytic therapy, percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) [1]. Leading factors that contribute to MS are myocardial reperfusion injury following free radical formation and altered calcium flux with calcium overload and myofilament desensitization [1]. While cardiac ATP levels demonstrate biochemical stunning after 15 minutes of coronary artery occlusion, a gradual recovery of myocardial contractility can take up to 72 hours post-reperfusion [1,2]. We report the first documented case of cardiogenic shock after CABG due to myocardial stunning that was successfully treated with biventricular impella for hemodynamic support as a bridge to recovery.

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