Impella Use in Cardiogenic Shock Due to Takotsubo Cardiomyopathy With Left Ventricular Outflow Tract Obstruction

Assad Mohammedzein, MD; Ahmed Taha, MD; Anu Salwan, MD; Rajesh Nambiar, MD

JACC: Case Reports (Aug 2019)

Impella Use in Cardiogenic Shock Due to Takotsubo Cardiomyopathy With Left Ventricular Outflow Tract Obstruction

Assad Mohammedzein, MD,
Ahmed Taha, MD,
Anu Salwan, MD,
Rajesh Nambiar, MD

Affiliations

Assad Mohammedzein, MD: Department of Internal Medicine, Texas Tech University Health Science Center, Amarillo, Texas; Address for correspondence: Dr. Assad Mohammedzein, Department of Internal Medicine, Texas Tech University Health Science Center, 1400 S Coulter Street, Amarillo, Texas 79106.
Ahmed Taha, MD: Department of Internal Medicine, Texas Tech University Health Science Center, Amarillo, Texas
Anu Salwan, MD: Department of Internal Medicine, Texas Tech University Health Science Center, Amarillo, Texas
Rajesh Nambiar, MD: Department of Cardiology, Texas Tech University Health Science Center, Amarillo, Texas

Journal volume & issue: Vol. 1, no. 2
pp. 161 – 165

Abstract

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Cardiogenic shock (CS) due to Takotsubo cardiomyopathy (TCM) is often managed with cautious fluid administration and inotropic support; however, the co-existence of a left ventricular outflow tract obstruction (LVOTO) can complicate this management approach. This report describes a case of CS due to TCM and LVOTO. It was successfully managed with the Impella 2.5. (Level of Difficulty: Intermediate.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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