Acromegalic cardiomyopathy with end-stage heart failure treated with left ventricular assist device: a case report

Liting Guo1, Hui Zheng2, Zhigang Liu3

  • 1Department of Endocrinology, TEDA International Cardiovascular Hospital, Tianjin Medical University, No. 61, Third Avenue, Teda, Tianjin, 300457, China.

Insights

Left ventricular assist device (LVAD) implantation offers a promising treatment for heart failure caused by acromegaly. This case study shows complete symptom relief and stable cardiac condition after LVAD implantation in a patient with severe acromegaly-related heart failure.

Area of Science:

  • Cardiology
  • Endocrinology
  • Medical Case Studies

Background:

  • Acromegaly-related heart failure is a rare condition with challenging diagnosis and suboptimal treatment outcomes.
  • Standard treatments include managing heart failure symptoms and reducing growth hormone (GH) levels.
  • Left ventricular assist device (LVAD) presents a potential therapeutic avenue for these patients.

Purpose of the Study:

  • To present a case study of a patient with severe acromegaly-related heart failure.
  • To evaluate the efficacy of LVAD implantation in managing this condition.

Main Methods:

  • A 54-year-old female with New York Heart Association class IV heart failure was treated.
  • Acromegaly was diagnosed via clinical features, elevated GH, and pituitary macroadenoma.
  • Bromocriptine was administered for GH reduction, followed by LVAD implantation.

Main Results:

  • The patient experienced complete relief of cardiac symptoms within one week post-LVAD surgery.
  • Cardiac condition remained stable during one year of follow-up.
  • Growth hormone levels gradually decreased post-treatment.

Conclusions:

  • LVAD implantation can be an effective treatment for patients suffering from acromegaly-related heart failure.
  • This approach led to significant clinical improvement and stable outcomes in the presented case.
Abstract

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