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제왕절개수술 후 발생한 스트레스 유발성 심근병증에서 시행된 경피적 체외막산소화장치의 적용 예

Percutaneous Extracorporeal Membrane Oxygenation in a Patient of Takotsubo Cardiomyopathy after Cesarean Section

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The Medical Journal of Chosun University (조선대학교 의대논문집)
조선대학교 의학연구원 (Institute of Medical Science, Chosun University)
초록

A 31-year-old woman was transferred because of dyspnea that occurred immediately after cesarean section. Initial echocar-diography showed akinesia in apex to mid left ventricular (LV) wall with severe LV systolic dysfunction, which was pre-sumed to be stress-induced cardiomyopathy. Because the patient developed cardiogenic shock, we initially planned on inser-tion 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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저자
  • 이유정(성균관대학교 의과대학 삼성창원병원) | You Jung Lee
  • 김진동(성균관대학교 의과대학 삼성창원병원) | Jin Dong Kim
  • 김유석(성균관대학교 의과대학 삼성창원병원) | You Suk Kim
  • 권윤재(성균관대학교 의과대학 삼성창원병원) | Yun Jae Kwon
  • 이은서(성균관대학교 의과대학 삼성창원병원) | Eun Seo Lee
  • 강구현(성균관대학교 의과대학 삼성창원병원) | Gu Hyun Kang Corresponding author