제왕절개수술 후 발생한 스트레스 유발성 심근병증에서 시행된 경피적 체외막산소화장치의 적용 예

• 영문명: Percutaneous Extracorporeal Membrane Oxygenation in a Patient of Takotsubo Cardiomyopathy after Cesarean Section
• 발행기관: 조선대학교 의학연구원
• 저자명: 이유정(You Jung Lee) 김진동(Jin Dong Kim) 김유석(You Suk Kim) 권윤재(Yun Jae Kwon) 이은서(Eun Seo Lee) 강구현(Gu Hyun
• 간행물 정보: 『The Medical Journal of Chosun University』제40권 제2호, 55~59쪽, 전체 5쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2015.06.30

영문 초록

A 31-year-old woman was transferred because of dyspnea that occurred immediately after cesarean section. Initial echocardiography showed akinesia in apex to mid left ventricular (LV) wall with severe LV systolic dysfunction, which was presumed to be stress-induced cardiomyopathy. Because the patient developed cardiogenic shock, we initially planned on insertion of an intra-aortic balloon pump. However, due to aggravation of cardiogenic shock and pulmonary edema, we had to resort to extracorporeal membrane oxygenation (ECMO) for cardiopulmonary support. In addition, an LV pigtail catheter was applied for decompressing the LV. Finally, she was successfully weaned from ECMO after recovery of LV function.

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키워드

Stress induced cardiomyopathy Extracorporeal membrane oxygenation Cesarean section Takotsubo cardiomyopathy Extracorporeal circulation