Multidisciplinary mechanical supports improve outcome in a shock patient with cardiac amyloidosis: a case report.
Shock patients with restrictive cardiomyopathy due to cardiac amyloidosis are refractory to medical treatment. Here, we report a case of early initiation of intra-aortic balloon pumping (IABP) in a patient with cardiac amyloidosis who developed postoperative shock. Continuous hemodiafiltration was also applied to control circulating fluid volume. The mechanical treatments allowed reduction of the doses of catecholamine and diuretics and resulted in full recovery. It is reasonable to initiate IABP and hemofiltration dialysis during the early stages for the appropriate control of hemodynamics and fluid in shock patients with cardiac amyloidosis.
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan.
Yoshiro
Y
Onoue
Yasuhiro
Y
Izumiya
Seiji
S
Takashio
Takamichi
T
Ono
Kenji
K
Morihisa
Kenichi
K
Tsujita
Eiichiro
E
Yamamoto
Megumi
M
Yamamuro
Koichi
K
Kaikita
Shinji
S
Tayama
Seiji
S
Hokimoto
Hitoshi
H
Sumida
Seigo
S
Sugiyama
Hisao
H
Ogawa
D000368:Aged; D000686:Amyloidosis / Q000150:complications*; D001810:Blood Volume; D003131:Combined Modality Therapy; D006331:Heart Diseases / Q000150:complications*; D017583:Hemodiafiltration; D006439:Hemodynamics; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D007680:Kidney Neoplasms / Q000150:complications / Q000601:surgery; D010535:Laparoscopy / Q000009:adverse effects; D008297:Male; D009392:Nephrectomy / Q000009:adverse effects; D012773:Shock, Surgical / Q000209:etiology / Q000503:physiopathology / Q000628:therapy*