Cardiogenic shock secondary to Tako-tsubo syndrome after debridement of malignant endobronchial obstruction.

Abstract:

:Transient left ventricular (LV) dysfunction syndrome, or Tako-tsubo syndrome, occurs following intense emotional or physical stress and simulates the clinical presentation of an acute myocardial infarction. We report a case of a 77-year-old man with esophageal adenocarcinoma with local invasion of the central airways who underwent rigid bronchoscopy for tumor debridement followed by placement of a stent. Postoperatively, cardiogenic shock developed and echocardiography revealed akinesis of the LV apex with an ejection fraction (EF) of 15%. Emergent coronary angiography revealed no significant coronary artery disease. The patient required intraaortic balloon counterpulsation and pressors. Seventy-two hours later, repeat echocardiography showed an EF of 45% with improvement in apical function, and the patient was discharged home in stable condition shortly thereafter. A 5-month follow-up echocardiogram revealed an EF > 55%, and the patient enjoyed an excellent performance status.

journal_name

Chest

journal_title

Chest

authors

Guerrero J,Majid A,Ernst A

doi

10.1378/chest.08-0790

subject

Has Abstract

pub_date

2009-01-01 00:00:00

pages

217-220

issue

1

eissn

0012-3692

issn

1931-3543

pii

S0012-3692(09)60089-1

journal_volume

135

pub_type

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