Stress induced cardiomyopathy complicated by cardiogenic shock: A non-survivor case

Stress induced cardiomyopathy complicated by refractory cardiogenic shock is challenging as treatment by inotropes and vasopressors may be ineffective. We present a case of female patient presented with cardiogenic shock after rupture globe operation, patient presented on mega doses of vasopressors...

Full description

Bibliographic Details
Main Authors: M. Abouelwafa, Alia Abdelfattah, Waheed Radwan, Akram Bary, M. Khaled, Wael Samy, M. Yousry, A. Saed, Mahmood Saad
Format: Article
Language:English
Published: Springer 2018-12-01
Series:Egyptian Journal of Critical Care Medicine
Online Access:http://www.sciencedirect.com/science/article/pii/S2090730318300550
Description
Summary:Stress induced cardiomyopathy complicated by refractory cardiogenic shock is challenging as treatment by inotropes and vasopressors may be ineffective. We present a case of female patient presented with cardiogenic shock after rupture globe operation, patient presented on mega doses of vasopressors and inotropes, peripheral percutaneous VA ECMO was instituted, IABP was put to deload leftventricle, 2 days later patient was shifted to VAV ECMO. After 4 days of ECMO run patient recovered left ventricular function and patient was weaned from all mechanical support devices. But patient developed septic shock refractory to vasopressors therapy and patient died. Keywords: Cardiogenic shock, Stress induced cardiomyopathy, Extracorporeal life support
ISSN:2090-7303