RT Journal Article
SR Electronic
T1 Use of the Impella 2.5 left ventricular assist device in a patient with cardiogenic shock secondary to takotsubo cardiomyopathy
JF BMJ Case Reports
FD BMJ Publishing Group Ltd
SP bcr2014208354
DO 10.1136/bcr-2014-208354
VO 2015
A1 Ahmed Rashed
A1 Sekon Won
A1 Marwan Saad
A1 Theodore Schreiber
YR 2015
UL http://casereports.bmj.com/content/2015/bcr-2014-208354.abstract
AB We report a case of cardiogenic shock, believed to be secondary to stress-induced cardiomyopathy, managed by an Impella 2.5 assist device. Apical ballooning pattern was evident on left ventriculogram with no significant coronary artery disease on coronary angiography. Cardiogenic shock was initially managed medically with inotropes and vasopressors, but because the patient was clinically deteriorating, an Impella 2.5 left ventricular assist device was implanted. Remarkable recovery occurred within 48 h of implantation with significant increase in ejection fraction and only minimal residual apical hypokinesis observed on repeat ventriculogram.