Balloon counterpulsation, ECMO and heart transplant within 24 hours in a patient in cardiogenic shock
Authors:
Trčková A. 1; Špinarová L. 1; Krejčí J. 1; Novák M. 1; Rezek M. 1; Pavlík P. 2; Ondrášek J. 2; Němec P. 2; Horváth V. 2
Authors‘ workplace:
I. interní kardioangiologická klinika LF MU a FN u sv. Anny v Brně
1; Centrum kardiovaskulární a transplantační chirurgie, Brno
2
Published in:
Kardiol Rev Int Med 2019, 21(4): 225-228
Overview
We present an interesting case of a 42-year-old man with dilated cardiomyopathy after probably undergoing myocarditis with left ventricular ejection fraction, initially 25%, temporarily improved to 35%, then again to 15-20%. During the last hospitalisation there was dramatic deterioration of the clinical condition and therefore three non-pharmacological procedures were used within 24 hours to treat cardiogenic shock – balloon counterpulsation, veno-arterial extracorporeal membrane oxygenation and subsequently successful heart transplantation.
Keywords:
corticosteroid – balloon counterpulsation – heart transplant – cardiogenic shock
Sources
1. Ponikowski P, Voors AA, Anker SD et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC). Developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur Heart J 2016; 37(27): 2129–2200. doi: 10.1093/ eurheartj/ ehw128.
2. Ošťádal P., Bělohlávek J. ECMO Extrakorporální membránová oxygenace Praha: Maxdorf (2. vyd.) 2018.
3. Špinarová L, Špinar J, Vítovec J. Transplantace srdce. Vnitř Lék 2018; 64(9): 862–866.
4. Brodie D, Bacchetta M. Extracorporeal membrane oxygenation for ARDS in adults. N Engl J Med 2011; 365: 1905–1914. doi: 10.1056/ NEJMct1103720.
Labels
Paediatric cardiology Internal medicine Cardiac surgery CardiologyArticle was published in
Cardiology Review
2019 Issue 4
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