Besnier E, Hubscher C, Doguet F, Bessou J-P, Dureuil B
Département d'anesthésie-réanimation-Samu, CHU Charles-Nicolle, 1, rue de Germont, 76031 Rouen, France.
Ann Fr Anesth Reanim. 2013 Oct;32(10):704-6. doi: 10.1016/j.annfar.2013.06.002. Epub 2013 Aug 30.
Tako-tsubo syndrome is a rare cardiomyopathy secondary to catecholamine toxicity responsible of myocardial stunning. Severe complications such as cardiogenic shock or ventricular arrhythmia can occur. We presented the case of a 32-year-old woman victim of a tako-tsubo syndrome with severe cardiogenic shock during surgical procedure for urgent caesarean section. After refractory haemodynamic failure, the patient benefits from extracorporeal membrane oxygenation support device with success.
应激性心肌病是一种继发于儿茶酚胺毒性导致心肌顿抑的罕见心肌病。可发生严重并发症,如心源性休克或室性心律失常。我们报告了一例32岁女性患者,在紧急剖宫产手术过程中发生应激性心肌病并伴有严重心源性休克。在难治性血流动力学衰竭后,患者成功受益于体外膜肺氧合支持装置。