Abstract:
:An 82-year-old woman underwent total gastrectomy for advanced gastric cancer with invasion to the lower esophagus. Her blood pressure dropped alarmingly during the operation, which was performed via the transabdominal and left-side transthoracic approach. Using echocardiography, we diagnosed intraoperative-onset reversible heart failure caused by ampulla cardiomyopathy. Because the infusion of catecholamines is associated with secondary heart failure, we gave her calcium antagonists and nicorandil, then started intra-aortic balloon pumping (IABP) and the percutaneous cardiopulmonary support system (PCPS). On postoperative day (POD) 7, the IABP and PCPS were removed and on POD 12, she was extubated successfully. The patient was discharged on POD 54 and has remained well. The factors predisposing her to ampulla cardiomyopathy were left-side thoracotomy, hypoxia caused by one-lung ventilation, and the infusion of high-dose catecholamines. Prompt diagnosis and timely treatment of the heart failure with IABP and PCPS prevented any further complications.
journal_name
Surg Todayjournal_title
Surgery todayauthors
Yabuuchi S,Miura K,Shiiba K,Shibata C,Ishii S,Mizoi T,Ejima Y,Horinouchi T,Iwabuchi K,Oda K,Unno M,Morita R,Nagaya K,Nitta Y,Matsuno S,Sasaki Idoi
10.1007/s00595-005-3009-4subject
Has Abstractpub_date
2005-01-01 00:00:00pages
874-8issue
10eissn
0941-1291issn
1436-2813journal_volume
35pub_type
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