Cardiogenic Shock in Obstructive Hypertrophic Cardiomyopathy Plus Apical Ballooning: Management With VA-ECMO and Myectomy.
AF, atrial fibrillation
CS, cardiogenic shock
EF, ejection fraction
HCM, hypertrophic cardiomyopathy
HF, heart failure
LVOTO, left ventricular outflow tract obstruction
MR, mitral regurgitation
SAM, systolic anterior movement
TTE, transthoracic echocardiography
VA-ECMO, veno-arterial extracorporeal membrane oxygenation
acute heart failure
cardiac assist devices
cardiomyopathy
inotropes
Journal
JACC. Case reports
ISSN: 2666-0849
Titre abrégé: JACC Case Rep
Pays: Netherlands
ID NLM: 101757292
Informations de publication
Date de publication:
Mar 2021
Mar 2021
Historique:
received:
14
08
2020
revised:
24
11
2020
accepted:
25
11
2020
entrez:
28
7
2021
pubmed:
29
7
2021
medline:
29
7
2021
Statut:
epublish
Résumé
A patient with known obstructive hypertrophic cardiomyopathy developed worsening left ventricular outflow tract obstruction, severe mitral regurgitation, and apical ballooning leading to cardiogenic shock, a combination in which treatment of each component could worsen the others. Emergency veno-arterial extracorporeal membrane oxygenation, levosimendan, and noradrenaline transiently restored adequate systemic perfusion and gas exchange. Surgical myectomy offered a more definitive solution. (
Identifiants
pubmed: 34317552
doi: 10.1016/j.jaccas.2020.11.029
pii: S2666-0849(20)31426-1
pmc: PMC8311032
doi:
Types de publication
Case Reports
Langues
eng
Pagination
433-437Informations de copyright
© 2021 The Authors.
Déclaration de conflit d'intérêts
The authors have reported that they have no relationships relevant to the contents of this paper to disclose.
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