Takotsubo Cardiomyopathy Resulting in Cardiac Arrest in a Patient Undergoing Liver Transplantation

2017 ◽  
Vol 49 (10) ◽  
pp. 2392-2394 ◽  
Author(s):  
M. Güner Can ◽  
A. Özer ◽  
M. İyigün ◽  
B. Vural Gökay ◽  
R. Emiroğlu
2014 ◽  
Vol 112 (3) ◽  
pp. 594-595 ◽  
Author(s):  
R. Harika ◽  
K. Bermas ◽  
C. Hughes ◽  
A. Al-Khafaji ◽  
M. Iyer ◽  
...  

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Filippo Zilio ◽  
Simone Muraglia ◽  
Roberto Bonmassari

Abstract Background A ‘catecholamine storm’ in a case of pheochromocytoma can lead to a transient left ventricular dysfunction similar to Takotsubo cardiomyopathy. A cardiogenic shock can thus develop, with high left ventricular end-diastolic pressure and a reduction in coronary perfusion pressure. This scenario can ultimately lead to a cardiac arrest, in which unloading the left ventricle with a peripheral left ventricular assist device (Impella®) could help in achieving the return of spontaneous circulation (ROSC). Case summary A patient affected by Takotsubo cardiomyopathy caused by a pheochromocytoma presented with cardiogenic shock that finally evolved into refractory cardiac arrest. Cardiopulmonary resuscitation was performed but ROSC was achieved only after Impella® placement. Discussion In the clinical scenario of Takotsubo cardiomyopathy due to pheochromocytoma, when cardiogenic shock develops treatment is difficult because exogenous catecholamines, required to maintain organ perfusion, could exacerbate hypertension and deteriorate the cardiomyopathy. Moreover, as the coronary perfusion pressure is critically reduced, refractory cardiac arrest could develop. Although veno-arterial extra-corporeal membrane oxygenation (va-ECMO) has been advocated as the treatment of choice for in-hospital refractory cardiac arrest, in the presence of left ventricular overload a device like Impella®, which carries fewer complications as compared to ECMO, could be effective in obtaining the ROSC by unloading the left ventricle.


2016 ◽  
Vol 27 (5) ◽  
pp. e1-e3 ◽  
Author(s):  
A Vachiat ◽  
K McCutcheon ◽  
A Mahomed ◽  
G Schleicher ◽  
L Brand ◽  
...  

CHEST Journal ◽  
2020 ◽  
Vol 158 (4) ◽  
pp. A207 ◽  
Author(s):  
Joseph Baum ◽  
Rahul Dasgupta ◽  
Julia Lantry ◽  
Vishal Dahya ◽  
Brian Bauman ◽  
...  

2019 ◽  
Vol 29 (3) ◽  
pp. 442-444
Author(s):  
Ryan M. Serrano ◽  
Marcus Schamberger ◽  
John J. Parent

AbstractTakotsubo cardiomyopathy is characterised by akinesis and ballooning of the left ventricular apex during contraction of the otherwise normal base of the heart. We describe the case of a 7-month-old previously healthy female who presented with an unwitnessed cardiac arrest. Workup raised suspicion for non-accidental trauma. Despite progression to brain death, the severely decreased ventricular function and apical akinesis of the left ventricle improved within 40 hours of admission. This report will familiarise paediatricians with this rare cardiomyopathy and emphasise the importance of considering non-accidental trauma as an inciting event for patients with unwitnessed cardiac arrest found to have decreased ventricular function.


Author(s):  
Diana N. Romano ◽  
Natalie K. Smith ◽  
Shinobu Itagaki ◽  
Yuki Bekki ◽  
Ganesh Gunasekaran ◽  
...  

In this report we describe the use of intraoperative venoarterial ECMO as salvage therapy in a unique case of post-reperfusion intracardiac thrombosis during liver transplantation with prolonged ACLS and coagulopathy. The limited literature on intraoperative ECMO as salvage therapy in liver transplantation is reviewed.


2012 ◽  
Vol 44 (8) ◽  
pp. 2497-2500 ◽  
Author(s):  
L.J. Tachotti Pires ◽  
M.N. Cardoso Curiati ◽  
F. Vissoci Reiche ◽  
O.M. Silvestre ◽  
S. Mangini ◽  
...  

2015 ◽  
Vol 115 (10) ◽  
pp. 1466-1472 ◽  
Author(s):  
Kuljit Singh ◽  
Kristin Carson ◽  
Benjamin Hibbert ◽  
Michel Le May

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