Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida, US.
Division of Cardiothoracic Anesthesia, Mayo Clinic, Jacksonville, Florida, US.
Braz J Cardiovasc Surg. 2024 Oct 17;e20230117(e20230117):e20230117. doi: 10.21470/1678-9741-2023-0117.
Takotsubo cardiomyopathy (TTCM) can occur in acute respiratory distress syndrome (ARDS) and a few cases in literature were reported to be associated with hemodynamic instability. All these patients were managed with venoarterial extracorporeal membrane oxygenation (VA-ECMO).Case presentation: We present two patients with ARDS-induced TTCM who were managed successfully with venovenous ECMO (VV-ECMO).
Ventricular function in both patients fully recovered three days after ECMO initiation, and they were subsequently weaned from ECMO once pulmonary function improved.
Takotsubo 心肌病(TTCM)可发生于急性呼吸窘迫综合征(ARDS),且文献中已有少数病例与血流动力学不稳定相关。所有这些患者均采用了静脉-动脉体外膜肺氧合(VA-ECMO)治疗。
我们介绍了两名 ARDS 引发 TTCM 的患者,他们成功地采用了静脉-静脉体外膜氧合(VV-ECMO)进行治疗。
两名患者在 ECMO 开始后三天,心功能完全恢复,一旦肺功能改善,他们就从 ECMO 中脱机。