[Intra-aortic balloon pumping is effective for hemodynamic management of catecholamine resistant ampulla (Takotsubo) cardiomyopathy].
Ampulla (Takotsubo) cardiomyopathy resembles acute myocardial infarction, with absent coronary stenosis. We report a case of catecholamine resistant ampulla cardiomyopathy, successfully managed using intra-aortic balloon pumping (IABP). After laparotomy, the patient developed circulatory collapse. T wave inversion was observed on electrocardiogram. In spite of circulatory support using high dose cathecholamines, the hemodynamics of the patient showed no improvement. Upon starting IABP, the patient's hemodynamics were improved and the dose of catecholamines could be reduced. Because the ampulla cardiomyopathy is considered a subtype of 'stunned myocardium' and the hemodynamic disorder is temporary and reversible, IABP appears effective for hemodynamic management.
Nagao
Tomoya
T
Department of Anesthesia and Critical Care, St. Luke's International Hospital, Tokyo 104-8560.
Ohwada
Tetsuro
T
Hashimoto
Manabu
M
Aoki
Kazuhiro
K
Shimizu
Hiroshi
H
Katayama
Masao
M
D000368:Aged; D002395:Catecholamines / Q000627:therapeutic use*; D004351:Drug Resistance; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008297:Male; D017682:Myocardial Stunning / Q000628:therapy*; D011183:Postoperative Complications / Q000628:therapy*; D016896:Treatment Outcome
D002395:Catecholamines