Resolution of Acute Respiratory Distress Syndrome-Induced Takotsubo Cardiomyopathy with Venovenous Extracorporeal Membrane Oxygenation

Ishaq J Wadiwala; Pankaj Garg; Wesley L Allen; Si M Pham; Mathew Thomas

doi:10.21470/1678-9741-2023-0117

Resolution of Acute Respiratory Distress Syndrome-Induced Takotsubo Cardiomyopathy with Venovenous Extracorporeal Membrane Oxygenation

Braz J Cardiovasc Surg. 2024 Oct 17;e20230117(e20230117):e20230117. doi: 10.21470/1678-9741-2023-0117.

Authors

Ishaq J Wadiwala¹, Pankaj Garg¹, Wesley L Allen², Si M Pham¹, Mathew Thomas¹

Affiliations

¹ Department of Cardiothoracic Surgery, Mayo Clinic, Jacksonville, Florida, US.
² Division of Cardiothoracic Anesthesia, Mayo Clinic, Jacksonville, Florida, US.

Abstract

Introduction: Takotsubo cardiomyopathy (TTCM) can occur in acute respiratory distress syndrome (ARDS) and a few cases in literature were reported to be associated with hemodynamic instability. All these patients were managed with venoarterial extracorporeal membrane oxygenation (VA-ECMO).Case presentation: We present two patients with ARDS-induced TTCM who were managed successfully with venovenous ECMO (VV-ECMO).

Conclusion: Ventricular function in both patients fully recovered three days after ECMO initiation, and they were subsequently weaned from ECMO once pulmonary function improved.

Keywords: Extracorporeal Membrane Oxygenation; Respiratory Distress Syndrome; Takotsubo Cardiomyopathy; Vascular diseases; Ventricular Function..

Publication types

Case Reports

MeSH terms

Extracorporeal Membrane Oxygenation*
Female
Humans
Male
Middle Aged
Respiratory Distress Syndrome* / etiology
Respiratory Distress Syndrome* / therapy
Takotsubo Cardiomyopathy* / etiology
Takotsubo Cardiomyopathy* / therapy
Treatment Outcome