Acute Right Ventricular Failure and Pulmonary Hypertension Secondary to Acute on Chronic Pulmonary Thromboembolic Disease

Author(s):  
Efird J Dagubatti R
2021 ◽  
Vol 2021 ◽  
pp. 1-4
Author(s):  
Cooper B. Kersey ◽  
Fitsumberhan Medhane ◽  
Andrew M. Pattock ◽  
Linda Liu ◽  
Gary Huang ◽  
...  

The case of a patient who suffered cardiac arrest while undergoing transesophageal echocardiography (TEE) is presented here. A 75-year-old man with moderate right ventricular (RV) dysfunction and pulmonary hypertension became bradycardic and hypotensive after receiving propofol for procedural sedation. His profound hypotension ultimately led to a pulseless electrical activity (PEA) cardiac arrest. TEE images captured immediately prior to cardiac arrest show a severely dilated and hypokinetic RV, consistent with acute right ventricular failure. This case highlights the potentially fatal consequences of procedural sedation in patients with RV dysfunction and pulmonary hypertension.


Author(s):  
Edgar García-Cruz ◽  
Daniel Manzur-Sandoval ◽  
Luis Augusto Baeza-Herrera ◽  
Arturo Díaz-Méndez ◽  
Adán López-Zamora ◽  
...  

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