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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 Cardiology
Topics Journals
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