Cardiogenic Shock in Obstructive Hypertrophic Cardiomyopathy Plus Apical Ballooning
oleh: Flavia Caniato, MD, Valentina Andrei, MD, Pasquale Bernardo, MD, Cecilia Agostini, MD, Francesco Cappelli, MD, Pier Luigi Stefano, MD, Iacopo Olivotto, MD, Maurizio Pieroni, MD, Leonardo Bolognese, MD, Carlo Di Mario, MD, PhD
| Format: | Article |
|---|---|
| Diterbitkan: | Elsevier 2021-03-01 |
Deskripsi
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. (Level of Difficulty: Intermediate.)