| Alcohol septal ablation to overcome shock. | |
| | |
MedLine Citation:
|
PMID: 20458835 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
A 69-year-old man, known with hypertrophic obstructive cardiomyopathy (HOCM), was referred to our hospital because of progressive hypoxaemia and sepsis after admission for respiratory infection. Once at the emergency department, cardiopulmonary resuscitation, intubation and mechanical ventilation were necessary. Despite vasopressors and colloids the patient remained haemodynamically unstable. Because of the conviction that the distributive shock, caused by sepsis, was worsened by an associated obstructive shock related to the HOCM, an alcohol septal ablation (ASA) was attempted in these acute circumstances. Immediately after the ASA the gradient over the left ventricular outflow tract disappeared and the mean arterial pressure and oxygenation increased. Despite his cardiovascular recuperation the patient died a couple of days later. Nevertheless we achieved an improvement of the haemodynamic situation of this patient with HOCM by performing an urgent ASA. |
| | |
Authors:
|
Katalien Galle; Johan De Sutter; Kristoff Cornelis |
Related Documents
:
|
10225155 - Detrimental effects of alcohol on tinnitus. 773785 - Alcohol and absorption from the small intestine. 1. impairment of absorption from the s... 1665015 - Attitudes toward problem drinkers, revisited: patient-therapist factors contributing to... 6733615 - High-density lipoprotein response to alcohol consumption and abstinence as an indicator... 20539145 - The patients' and consumers' working party at the european medicines agency: a model of... 6638415 - A clinical and immunological study of allergy to hen's egg white. iv. specific ige-anti... |
Publication Detail:
|
Type: Case Reports; Journal Article |
Journal Detail:
|
Title: Acta cardiologica Volume: 65 ISSN: 0001-5385 ISO Abbreviation: Acta Cardiol Publication Date: 2010 Apr |
Date Detail:
|
Created Date: 2010-05-12 Completed Date: 2010-06-11 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0370570 Medline TA: Acta Cardiol Country: Belgium |
Other Details:
|
Languages: eng Pagination: 249-51 Citation Subset: IM |
Affiliation:
|
Department of Cardiology, AZ Maria Middelares, Ghent, Belgium. katalien.galle@uz.kuleuven.ac.be |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Cardiomyopathy, Hypertrophic / complications, diagnosis, therapy* Catheter Ablation / methods* Emergency Service, Hospital Ethanol / therapeutic use* Fatal Outcome Humans Male Sclerosing Solutions / therapeutic use* Sclerotherapy / methods* Severity of Illness Index Surgical Procedures, Minimally Invasive Ventricular Septum / drug effects* |
| Chemical | |
Reg. No./Substance:
|
0/Sclerosing Solutions; 64-17-5/Ethanol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Enhanced external counterpulsation: mechanisms of action and clinical applications.
Next Document: A rare case of aortic bioprosthesis thrombosis.