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High Profile Transvalvular Pump Assisted Recovery for Takotsubo Cardiomyopathy: A Case Series
Jordan Young1, Patrick McGrade1, Jaime Hernandez-Montfort1
1Department of Internal Medicine, Baylor Scott and White Health-Temple, Temple, TX 76508, USA.
High-profile transvalvular pumps (HPTP) effectively treated cardiogenic shock in stress-induced cardiomyopathy patients when standard therapies failed. These devices rapidly stabilized hemodynamics, supporting myocardial recovery and leading to full cardiac function normalization.
Area of Science:
- Cardiology
- Mechanical Circulatory Support
- Acute Heart Failure
Background:
- Stress-induced cardiomyopathy (SI-CM) can lead to severe cardiogenic shock (CS).
- Mechanical circulatory support (MCS) is crucial for managing advanced heart failure.
- High-profile transvalvular pumps (HPTP) offer percutaneous ventricular assist.
Observation:
- Two elderly female patients with SI-CM-related CS presented with profound shock.
- Case 1: Sepsis, colonic perforation, and recurrent SI-CM.
- Case 2: Multifocal pneumonia, severe mitral regurgitation, and complete heart block.
Findings:
- HPTP implantation via axillary artery stabilized hemodynamics in both complex cases.
- Patients experienced improved cardiac output and systemic perfusion post-HPTP.
- Echocardiography confirmed normalization of left ventricular ejection fraction after device removal.
Implications:
- HPTP shows promise for managing SI-CM-related CS unresponsive to conventional treatments.
- Rapid hemodynamic restoration and myocardial support are key benefits.
- Further research is warranted to explore HPTP's role in SI-CM CS.
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