Successful treatment of intraoperative heart failure caused by ampulla cardiomyopathy by intra-aortic balloon pumping and percutaneous cardiopulmonary support: Report of a case

Shin Ichi Yabuuchi, Koh Miura, Ken Ichi Shiiba, Chikashi Shibata, Seiichi Ishii, Takayuki Mizoi, Yutaka Ejima, Takashi Horinouchi, Kaoru Iwabuchi, Katsuhiko Oda, Michiaki Unno, Rina Morita, Koichi Nagaya, Yoshio Nitta, Seiki Matsuno, Iwao Sasaki

Research output: Contribution to journalArticlepeer-review

2 Citations (Scopus)

Abstract

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.

Original languageEnglish
Pages (from-to)874-878
Number of pages5
JournalSurgery today
Volume35
Issue number10
DOIs
Publication statusPublished - 2005 Oct

Keywords

  • Ampulla cardiomyopathy
  • Catecholamine
  • Intra-aortic balloon pumping
  • Operations for elderly patients
  • Percutaneous cardiopulmonary support

ASJC Scopus subject areas

  • Surgery

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