SEPSIS-TRIGGERED TAKOTSUBO CARDIOMYOPATHTY: A SEVERE CASE RESCUED BY VENO-ATRIAL EXTRACORPOREAL MEMBRANE OXYGENATION

Year 2019, Volume: 10 Issue: 1, 1 - 4, 01.01.2019

Kazuya Omura Tetsuya Hoshino

https://doi.org/10.33706/jemcr.537901

Abstract

Introduction: The use of extracorporeal membrane oxygenation (ECMO) for sepsis-related shock remains controversial. We report a
shock case with sepsis-triggered Takotsubo cardiomyopathy, who was successfully rescued using veno-atrial ECMO.
Keywords: Takotsubo Cardiomyopathy, Shock, Sepsis, Extracorporeal membrane oxygenation, cardiogenic shock

Case Report: A 76-year-old woman with hypoglycemia and a high fever was diagnosed as sepsis-triggered Takotsubo cardiomyopathy.
She subsequently developed severe shock. Veno-atrial ECMO was initiated, then the patient responded quickly and
recovered fully. She was later diagnosed as having had cardiogenic shock, based on her clinical course.

Conclusion: Although distinguishing cardiogenic from septic shock is difficult, the initiation of veno-atrial ECMO in severe cases
of sepsis-triggered Takotsubo cardiomyopathy might be reasonable.

Keywords

Takotsubo Cardiomyopathy, Shock, Sepsis, Extracorporeal membrane oxygenation

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