제왕절개수술 후 발생한 스트레스 유발성 심근병증에서 시행된 경피적 체외막산소화장치의 적용 예

Percutaneous Extracorporeal Membrane Oxygenation in a Patient of Takotsubo Cardiomyopathy after Cesarean Section

A 31-year-old woman was transferred because of dyspnea that occurred immediately after cesarean section. Initial echocardiography showed akinesia in apex to mid left ventricular (LV) wall with severe LV systolic dysfunction, which was presumed to be stress-induced cardiomyopathy. Because the patient developed cardiogenic shock, we initially planned on insertion of an intra-aortic balloon pump. However, due to aggravation of cardiogenic shock and pulmonary edema, we had to resort to extracorporeal membrane oxygenation (ECMO) for cardiopulmonary support. In addition, an LV pigtail catheter was applied for decompressing the LV. Finally, she was successfully weaned from ECMO after recovery of LV function.