scholarly journals Lactate Acidosis Following a Metformin Poisoning: Which Elimination Therapy to use in Case of Haemodynamic Instability? A Case Report

2020 ◽  
Vol 14 (07) ◽  
Keyword(s):  
Case Report ◽  
Haemodynamic Instability ◽  
Lactate Acidosis

scholarly journals A case report: black oesophagus as a possible complication of transcatheter aortic valve implantation

2019 ◽  
Vol 3 (2) ◽  
Author(s):  
Inês S Gonçalves ◽  
Armando L Bordalo e Sá ◽  
Narcisa Fatela ◽  
Pedro Canas da Silva
Keyword(s):  
Case Report ◽  
Aortic Valve ◽  
Transcatheter Aortic Valve Implantation ◽  
High Rate ◽  
Haemodynamic Instability ◽  
Heart Team ◽  
Transcatheter Aortic Valve ◽  
Acute Necrotizing ◽  
Aortic Valve Implantation ◽  
Valve Implantation

Abstract Background The increasing number of transcatheter aortic valve implantation (TAVI) in the last few years has unveiled a unique set of events and complications that need prompt recognition and management in order to improve patient outcomes, often involving a multidisciplinary team. Case summary We present a case of a 86-year-old woman with symptomatic severe aortic stenosis that underwent a TAVI and, in the post-procedure period, presented with acute abundant haematemesis, haemodynamic instability, and haemoglobin drop. The diagnosis of acute necrotizing oesophagitis (ANE) was made by upper gastrointestinal endoscopy. Discussion Acute necrotizing oesophagitis is a rare entity caused usually by an ischaemic insult in the presence of predisposing factors; it has a high rate of complications and mortality. To the best of our knowledge, this is the first clinical case report to describe the occurrence of ANE as a possible complication of TAVI and is also an example of the importance of the multidisciplinary approach of these complex patients, which extends even beyond the concept of Heart Team.

scholarly journals Failure to Diagnose Phaeochromocytoma Preoperatively: A Case Report and Review of Diagnostic Criteria

2011 ◽  
Vol 2011 ◽  
pp. 1-4
Author(s):  
Ileana Antonopoulou ◽  
Mark Heining
Keyword(s):  
Case Report ◽  
Diagnostic Criteria ◽  
Haemodynamic Instability ◽  
Extensive Investigation ◽  
Review Current

We present a case in which phaeochromocytoma was not diagnosed preoperatively despite extensive investigation. There was significant haemodynamic instability during surgery. We review current diagnostic criteria with a view to reducing such a risk in future.

scholarly journals A case report about successful treatment of refractory ventricular tachycardia with ablation under prolonged haemodynamic support with extracorporeal membrane oxygenation

2021 ◽  
Vol 5 (3) ◽  
Author(s):  
Emil Najjar ◽  
Magnus Dalén ◽  
Jonas Schwieler ◽  
Lars H Lund
Keyword(s):  
Ventricular Tachycardia ◽  
Case Report ◽  
Extracorporeal Membrane Oxygenation ◽  
Electrophysiological Study ◽  
Left Ventricular ◽  
Haemodynamic Instability ◽  
Radiofrequency Energy ◽  
Severe Left Ventricular Dysfunction ◽  
Membrane Oxygenation ◽  
Vt Ablation

Abstract Background In patients with severe left ventricular dysfunction, recurrent ventricular tachycardia (VT) non-responsive to antiarrhythmic therapies may cause further deterioration of cardiac function and haemodynamic instability. The use of extracorporeal membrane oxygenation (ECMO) in the setting of haemodynamically unstable VT may allow rhythm stabilization and can be effective in providing haemodynamic stability during VT ablation procedures. Case summary We describe the clinical course of a patient with ischaemic cardiomyopathy and recurrent VTs in the early post-myocardial infarction (MI) period. Nineteen days after MI, the patient started to experience recurrent attacks of VT, which became more frequent and non-responsive to medical treatment including amiodarone and lidocaine. The patient developed cardiogenic shock and a decision was made to institute ECMO. The patient was supported with ECMO for 32 days because of heart failure, refractory VT, and recurrent infections. An electrophysiological study was performed 4 days after ECMO initiation, which revealed a large scar area in the left ventricle. Radiofrequency energy was applied 69 times, rendering the VT non-inducible. Subsequently, VT attacks disappeared and the patient was weaned from ECMO after 32 days. The patient received a left ventricular assist device 5 days post-ECMO weaning and was then transplanted. Discussion There is still no evidence or guidelines regarding patients with refractory VT; however, ECMO support has been successfully used during VT ablation procedures. In this case report, VT ablation had a crucial role in treating the culprit arrhythmia while the implementation of ECMO allowed a complex ablation procedure to be completed safely.

scholarly journals Postcolonoscopy splenic rupture: the under-reporting of an unpropitious phenomena?

2019 ◽  
Vol 12 (9) ◽  
pp. e231047 ◽  
Author(s):  
Bing Lun Chow ◽  
Khawaja Zia
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Chest Pain ◽  
Ct Scan ◽  
Splenic Rupture ◽  
Case Reports ◽  
Initial Presentation ◽  
Haemodynamic Instability ◽  
Fatal Complication

Splenic rupture secondary to colonoscopy is a rare but potentially fatal complication. Given the disparity between the small number of case reports with the incidence reported by some investigators, we contend that the former is not representative of the true extent of this sequela. We present a case report of postcolonoscopy splenic rupture, where the patient had a bizarre initial presentation of chest pain and collapse; and only developed haemodynamic instability and abdominal pain on day 2 postprocedure. Diagnosis was made with a CT scan, and resolution of symptoms was achieved with a splenectomy.

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