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A Case of Consecutive Right and Left Ventricular Dysfunction

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An acute pulmonary embolism (PE) and the apical ballooning syndrome (ABS) are both critical and need proper management during the acute stage. We experienced a case of recurrent severe dyspnea because serious right ventricular dysfunction due to PE and left ventricular dysfunction due to ABS occurred consecutively in the short-term and bedside echocardiography has an important role in management in acute settings.

Abstract

An acute pulmonary embolism (PE) and the apical ballooning syndrome (ABS) are both critical and need proper management during the acute stage. We experienced a case of recurrent severe dyspnea because serious right ventricular dysfunction due to PE and left ventricular dysfunction due to ABS occurred consecutively in the short-term and bedside echocardiography has an important role in management in acute settings.

참고문헌 (7)

  1. Tsuchihashi K, "Angina pectoris-Myocardial infarction Investigations in Japan. Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute myocardial infarction", J Am Coll Cardiol, 38, pp.11~18 (2001)
  2. Kai R, "Apical ballooning by transient left ventricular dysfunction (so-called “ampulla”cardiomyopathy) associated with therapy for acute pulmonary thromboembolism:a case report", J Cardiol, 38, pp.41~46 (2001)
  3. Abe Y, "Assessment of clinical features in transient left ventricular apical ballooning", J Am Coll Cardiol, 41, pp.737~742 (2003)
  4. Ten Wolde M, "Prognostic value of echocardiographically assessed right ventricular dysfunction in patients with pulmonary embolism", Arch Intern Med, 164, pp.1685~1689 (2004)
  5. Lee JH, "Role of echocardiography in acute pulmonary embolism", J Cardiovasc Ultrasound, 16, pp.9~16 (2008)
  6. Miniati M, "Value of transthoracic echocardiography in the diagnosis of pulmonary embolism:Results of a prospective study in unselected patients", Am J Med, 110, pp.528~535 (2001)
  7. Pavan D, "Echocardiography in pulmonary embolism disease. Int J Cardiol 1998;65 Suppl 1:S87-90. 8. ACCF", ASE, ASNC, pp.SCAI, SCCT[DOI]

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