Multidisciplinary Mechanical Supports Improve Outcome in a Shock Patient with Cardiac Amyloidosis: A Case Report

Yoshiro Onoue; Yasuhiro Izumiya; Seiji Takashio; Takamichi Ono; Kenji Morihisa; Kenichi Tsujita; Eiichiro Yamamoto; Megumi Yamamuro; Koichi Kaikita; Shinji Tayama; Seiji Hokimoto; Hitoshi Sumida; Seigo Sugiyama; Hisao Ogawa

doi:10.2169/internalmedicine.51.7196

CASE REPORTS

Multidisciplinary Mechanical Supports Improve Outcome in a Shock Patient with Cardiac Amyloidosis: A Case Report

Yoshiro Onoue, Yasuhiro Izumiya, Seiji Takashio, Takamichi Ono, Kenji Morihisa, Kenichi Tsujita, Eiichiro Yamamoto, Megumi Yamamuro, Koichi Kaikita, Shinji Tayama, Seiji Hokimoto, Hitoshi Sumida, Seigo Sugiyama, Hisao Ogawa

Author information

Yoshiro Onoue
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Yasuhiro Izumiya
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Seiji Takashio
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Takamichi Ono
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Kenji Morihisa
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Kenichi Tsujita
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Eiichiro Yamamoto
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Megumi Yamamuro
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Koichi Kaikita
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Shinji Tayama
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Seiji Hokimoto
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Hitoshi Sumida
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Seigo Sugiyama
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan
Hisao Ogawa
Department of Cardiovascular Medicine, Graduate School of Medical Sciences, Kumamoto University, Japan

Keywords: cardiac amyloidosis, restrictive cardiomyopathy, intra aortic balloon pumping, diastolic function

JOURNAL OPEN ACCESS

2012 Volume 51 Issue 10 Pages 1215-1219

DOI https://doi.org/10.2169/internalmedicine.51.7196

Details

Abstract

Shock patients with restrictive cardiomyopathy due to cardiac amyloidosis are refractory to medical treatment. Here, we report a case of early initiation of intra-aortic balloon pumping (IABP) in a patient with cardiac amyloidosis who developed postoperative shock. Continuous hemodiafiltration was also applied to control circulating fluid volume. The mechanical treatments allowed reduction of the doses of catecholamine and diuretics and resulted in full recovery. It is reasonable to initiate IABP and hemofiltration dialysis during the early stages for the appropriate control of hemodynamics and fluid in shock patients with cardiac amyloidosis.

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