| Cardiogenic shock secondary to Tako-tsubo syndrome after debridement of malignant endobronchial obstruction. | |
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MedLine Citation:
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PMID: 18689580 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Transient left ventricular (LV) dysfunction syndrome, or Tako-tsubo syndrome, occurs following intense emotional or physical stress and simulates the clinical presentation of an acute myocardial infarction. We report a case of a 77-year-old man with esophageal adenocarcinoma with local invasion of the central airways who underwent rigid bronchoscopy for tumor debridement followed by placement of a stent. Postoperatively, cardiogenic shock developed and echocardiography revealed akinesis of the LV apex with an ejection fraction (EF) of 15%. Emergent coronary angiography revealed no significant coronary artery disease. The patient required intraaortic balloon counterpulsation and pressors. Seventy-two hours later, repeat echocardiography showed an EF of 45% with improvement in apical function, and the patient was discharged home in stable condition shortly thereafter. A 5-month follow-up echocardiogram revealed an EF > 55%, and the patient enjoyed an excellent performance status. |
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Authors:
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Jorge Guerrero; Adnan Majid; Armin Ernst |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-08-08 |
Journal Detail:
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Title: Chest Volume: 135 ISSN: 1931-3543 ISO Abbreviation: Chest Publication Date: 2009 Jan |
Date Detail:
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Created Date: 2009-01-12 Completed Date: 2009-01-26 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: United States |
Other Details:
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Languages: eng Pagination: 217-20 Citation Subset: AIM; IM |
Affiliation:
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Division of Cardiothoracic Surgery and Interventional Pulmonology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adenocarcinoma
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pathology,
surgery* Aged Bronchoscopy / adverse effects* Debridement / adverse effects* Esophageal Neoplasms / pathology, surgery* Humans Male Shock, Cardiogenic / diagnosis, etiology*, therapy Stents Takotsubo Cardiomyopathy / complications*, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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