Acute diastolic dysfunction due to pneumomediastinum following positive end-expiratory pressure--a case report.

Abstract:

:A 78-year-old woman was admitted for pulmonary embolism requiring orotracheal intubation and positive end-expiratory pressure. The pulmonary angiography confirmed a massive pulmonary embolism as suggested by echocardiography. Heparin and recombinant tissue plasminogen activator were successfully administrated; nevertheless, cardiogenic shock developed. A diastolic morphology of the right-left cardiac pressures, despite a normalization of lung vasculature, was discovered by a repeated cardiac catheterization and pulmonary angiography. No tamponade was detected by echocardiography. Computed tomography demonstrated a large pneumomediastinum caused by positive end-expiration pressure, as a cause of the acute diastolic dysfunction. The patient died of a cardiac arrest after an unsuccessful drainage attempt.

journal_name

Angiology

journal_title

Angiology

authors

Rigatelli G,Zanchetta M,Pedon L,Zennaro M,Maiolino P

doi

10.1177/000331970405500411

subject

Has Abstract

pub_date

2004-07-01 00:00:00

pages

441-3

issue

4

eissn

0003-3197

issn

1940-1574

journal_volume

55

pub_type

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