[Subarachnoidal haemorrhage and myocardial failure: interest of cardiac and cerebral monitoring].
Spontaneous subarachnoidal haemorrhage can be associated with neurogenic pulmonary oedema and cardiogenic shock. The presentation is an ischemic myocardial dysfunction associated with normal coronary arteries. Hypoxaemia associated with arterial hypotension on patients with brain injury can worsen neurological outcome. The administration of norepinephrine associated with fluid expansion could be deleterious on cardiac function. We report the case of a patient with acute pulmonary oedema associated with post-aneurysmal subarachnoid haemorrhage managed with transoesophageal Doppler monitoring.
Daboussi
A
A
Coordination anesthésie-réanimation, hôpital Purpan, CHU de Toulouse, 31059 Toulouse cedex 09, France.
Fourcade
O
O
Payoux
P
P
Tissot
B
B
Sacrista
S
S
Samii
K
K
D000328:Adult; D017548:Echocardiography, Transesophageal; D005260:Female; D006333:Heart Failure / Q000000981:diagnostic imaging* / Q000209:etiology*; D006801:Humans; D011654:Pulmonary Edema / Q000209:etiology*; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000000981:diagnostic imaging*; D018608:Ultrasonography, Doppler