Abstract
CasesSeptic cardiomyopathy is defined as a reversible left ventricular systolic dysfunction. Patients with severe septic cardiomyopathy have a high mortality rate, even if they receive conventional therapy. For those patients, previous reports showed intra‐aortic balloon pump (IABP) efficacy. We report two rare cases with IABP introduction leading them to drastic improvement, and survival from severe septic cardiomyopathy. Case 1 is a 78‐year‐old woman diagnosed with renal calculus pyelonephritis, septic shock, and septic cardiomyopathy. Case 2 is a 62‐year‐old man diagnosed with pneumonia, septic shock, and septic cardiomyopathy.OutcomeIn both cases, despite conventional therapy for cardiomyopathy, including high‐dose catecholamine therapy, shock was not reversed, and the IABP was inserted. Circulatory status was improved after the introduction of the IABP.ConclusionOur findings suggest that an IABP can be useful for salvaging patients with septic cardiomyopathy who do not respond to conventional therapy.
Highlights
S EPTIC CARDIOMYOPATHY IS defined as a reversible left ventricular systolic dysfunction that occurs in patients with sepsis
We report two cases with intra-aortic balloon pump (IABP) introduction leading to drastic improvement, and survival from severe septic cardiomyopathy when conventional therapy was not effective
Some case reports showed that veno-arterial extracorporeal membrane oxygenation (ECMO) or IABP was useful as the last rescue therapy for unresponsive sepsis cardiomyopathy patients.[4]
Summary
S EPTIC CARDIOMYOPATHY IS defined as a reversible left ventricular systolic dysfunction that occurs in patients with sepsis. Most patients improve with conventional therapy after 7–10 days[1]. We report two cases with IABP introduction leading to drastic improvement, and survival from severe septic cardiomyopathy when conventional therapy was not effective.
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