Cardiogenic Shock in Obstructive Hypertrophic Cardiomyopathy Plus Apical Ballooning: Management With VA-ECMO and Myectomy

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-art...

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Autores principales: Caniato, Flavia, Andrei, Valentina, Bernardo, Pasquale, Agostini, Cecilia, Cappelli, Francesco, Stefano, Pier Luigi, Olivotto, Iacopo, Pieroni, Maurizio, Bolognese, Leonardo, Di Mario, Carlo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Mini-Focus Issue: Heart failure
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8311032/
https://www.ncbi.nlm.nih.gov/pubmed/34317552
http://dx.doi.org/10.1016/j.jaccas.2020.11.029
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author Caniato, Flavia
Andrei, Valentina
Bernardo, Pasquale
Agostini, Cecilia
Cappelli, Francesco
Stefano, Pier Luigi
Olivotto, Iacopo
Pieroni, Maurizio
Bolognese, Leonardo
Di Mario, Carlo
author_facet Caniato, Flavia
Andrei, Valentina
Bernardo, Pasquale
Agostini, Cecilia
Cappelli, Francesco
Stefano, Pier Luigi
Olivotto, Iacopo
Pieroni, Maurizio
Bolognese, Leonardo
Di Mario, Carlo
author_sort Caniato, Flavia
collection PubMed
description 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.)
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spelling pubmed-83110322021-07-26 Cardiogenic Shock in Obstructive Hypertrophic Cardiomyopathy Plus Apical Ballooning: Management With VA-ECMO and Myectomy Caniato, Flavia Andrei, Valentina Bernardo, Pasquale Agostini, Cecilia Cappelli, Francesco Stefano, Pier Luigi Olivotto, Iacopo Pieroni, Maurizio Bolognese, Leonardo Di Mario, Carlo JACC Case Rep Mini-Focus Issue: Heart failure 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.) Elsevier 2021-03-17 /pmc/articles/PMC8311032/ /pubmed/34317552 http://dx.doi.org/10.1016/j.jaccas.2020.11.029 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Mini-Focus Issue: Heart failure
Caniato, Flavia
Andrei, Valentina
Bernardo, Pasquale
Agostini, Cecilia
Cappelli, Francesco
Stefano, Pier Luigi
Olivotto, Iacopo
Pieroni, Maurizio
Bolognese, Leonardo
Di Mario, Carlo
Cardiogenic Shock in Obstructive Hypertrophic Cardiomyopathy Plus Apical Ballooning: Management With VA-ECMO and Myectomy
title Cardiogenic Shock in Obstructive Hypertrophic Cardiomyopathy Plus Apical Ballooning: Management With VA-ECMO and Myectomy
title_full Cardiogenic Shock in Obstructive Hypertrophic Cardiomyopathy Plus Apical Ballooning: Management With VA-ECMO and Myectomy
title_fullStr Cardiogenic Shock in Obstructive Hypertrophic Cardiomyopathy Plus Apical Ballooning: Management With VA-ECMO and Myectomy
title_full_unstemmed Cardiogenic Shock in Obstructive Hypertrophic Cardiomyopathy Plus Apical Ballooning: Management With VA-ECMO and Myectomy
title_short Cardiogenic Shock in Obstructive Hypertrophic Cardiomyopathy Plus Apical Ballooning: Management With VA-ECMO and Myectomy
title_sort cardiogenic shock in obstructive hypertrophic cardiomyopathy plus apical ballooning: management with va-ecmo and myectomy
topic Mini-Focus Issue: Heart failure
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8311032/
https://www.ncbi.nlm.nih.gov/pubmed/34317552
http://dx.doi.org/10.1016/j.jaccas.2020.11.029
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