Bubble trouble: anaphylactic shock, threatened myocardial infarction, and transient renal failure after intravenous echo contrast for left ventricular cavity opacification preceding dobutamine stress echo.
Echo contrast agents are widely used and safe but can rarely produce serious side effects. This-to the author's knowledge-is the first detailed published case report of a patient who had a severe and complex sequence of adverse reactions within 3 min of having an intravenous infusion of Sonovue initiated, and where the causal connection between Sonovue and the adverse reaction is not diluted by potential side effects from dobutamine.
Ionescu
Adrian
A
Morriston Cardiac Centre, Morriston, Swansea SA6 6NL, Wales, UK. adrian.ionescu@swansea-tr.wales.nhs.uk
D058186:Acute Kidney Injury / Q000139:chemically induced*; D000707:Anaphylaxis / Q000139:chemically induced*; D003287:Contrast Media / Q000009:adverse effects*; D025401:Echocardiography, Stress / Q000009:adverse effects*; D004562:Electrocardiography; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000139:chemically induced*; D010743:Phospholipids / Q000009:adverse effects*; D013459:Sulfur Hexafluoride / Q000009:adverse effects*
D003287:Contrast Media; D010743:Phospholipids; C420843:contrast agent BR1; D013459:Sulfur Hexafluoride