TY - JOUR
T1 - Successful treatment of intraoperative heart failure caused by ampulla cardiomyopathy by intra-aortic balloon pumping and percutaneous cardiopulmonary support
T2 - Report of a case
AU - Yabuuchi, Shin Ichi
AU - Miura, Koh
AU - Shiiba, Ken Ichi
AU - Shibata, Chikashi
AU - Ishii, Seiichi
AU - Mizoi, Takayuki
AU - Ejima, Yutaka
AU - Horinouchi, Takashi
AU - Iwabuchi, Kaoru
AU - Oda, Katsuhiko
AU - Unno, Michiaki
AU - Morita, Rina
AU - Nagaya, Koichi
AU - Nitta, Yoshio
AU - Matsuno, Seiki
AU - Sasaki, Iwao
PY - 2005/10
Y1 - 2005/10
N2 - An 82-year-old woman underwent total gastrectomy for advanced gastric cancer with invasion to the lower esophagus. Her blood pressure dropped alarmingly during the operation, which was performed via the transabdominal and left-side transthoracic approach. Using echocardiography, we diagnosed intraoperative-oneset reversible heart failure caused by ampulla cardiomyopathy. Because the infusion of catecholamines is associated with secondary heart failure, we gave her calcium antagonists and nicorandil, then started intra-aortic balloon pumping (IABP) and the percutaneous cardiopulmonary support system (PCPS). On postoperative day (POD) 7, the IABP and PCPS were removed and on POD 12, she was extubated successfully. The patient was discharged on POD 54 and has remained well. The factors predisposing her to ampulla cardiomyopathy were left-side thoracotomy, hypoxia caused by one-lung ventilation, and the infusion of high-dose catecholamines. Prompt diagnosis and timely treatment of the heart failure with IABP and PCPS prevented any further complications.
AB - An 82-year-old woman underwent total gastrectomy for advanced gastric cancer with invasion to the lower esophagus. Her blood pressure dropped alarmingly during the operation, which was performed via the transabdominal and left-side transthoracic approach. Using echocardiography, we diagnosed intraoperative-oneset reversible heart failure caused by ampulla cardiomyopathy. Because the infusion of catecholamines is associated with secondary heart failure, we gave her calcium antagonists and nicorandil, then started intra-aortic balloon pumping (IABP) and the percutaneous cardiopulmonary support system (PCPS). On postoperative day (POD) 7, the IABP and PCPS were removed and on POD 12, she was extubated successfully. The patient was discharged on POD 54 and has remained well. The factors predisposing her to ampulla cardiomyopathy were left-side thoracotomy, hypoxia caused by one-lung ventilation, and the infusion of high-dose catecholamines. Prompt diagnosis and timely treatment of the heart failure with IABP and PCPS prevented any further complications.
KW - Ampulla cardiomyopathy
KW - Catecholamine
KW - Intra-aortic balloon pumping
KW - Operations for elderly patients
KW - Percutaneous cardiopulmonary support
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U2 - 10.1007/s00595-005-3009-4
DO - 10.1007/s00595-005-3009-4
M3 - Article
C2 - 16175470
AN - SCOPUS:25444432237
VL - 35
SP - 874
EP - 878
JO - Surgery Today
JF - Surgery Today
SN - 0941-1291
IS - 10
ER -
