Post-cardiotomy cardiogenic shock treatment management. Treatment considerations and strategies for managing post-cardiotomy cardiogenic shock, where shock profiles are categorized into pre-operative, intraoperative, and postoperative phases. Highlighted here are risk factors, haemodynamic indicators, and appropriate interventions, including mechanical circulatory support tailored for left ventricular, right ventricular, and biventricular dysfunction. PCCS, post-cardiotomy cardiogenic shock; LV, left ventricular; RV, right ventricular; Bi-V, biventricular; PCS, post-cardiotomy shock; LVEF, left ventricular ejection fraction; MI, myocardial infarction; CAD, coronary artery disease; CPB, cardiopulmonary bypass; SBP, systolic blood pressure; VIS, vasoactive inotropic score; CI, cardiac index; PCWP, pulmonary capillary wedge pressure; CVP, central venous pressure; EF, ejection fraction; SVO2, mixed venous oxygen saturation; ScVO2, central venous oxygen saturation; WMA, wall motion abnormality; MCS, mechanical circulatory support; IABP, intra-aortic balloon pump; VA-ECMO, veno-arterial extracorporeal membrane oxygenation; V-PA, veno-pulmonary artery extracorporeal membrane oxygenation; PAPi, pulmonary artery pulsatility index; CVP, central venous pressure; TAPSE, tricuspid annular plane systolic excursion; ECMELLA, combined use of VA-ECMO and an Impella device.