Acromegalic Cardiomyopathy With Malignant Arrhythmogenic Pattern Successfully Treated With Mechanical Circulatory Support and Heart Transplantation

Doimo, Sara; Miani, Daniela; FINATO, Nicoletta; Driussi, Mauro; Sinagra, Gianfranco; LIVI, Ugolino; Proclemer, Alessandro

doi:10.1016/j.cjca.2017.02.006

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Cardiovascular involvement is common in acromegaly and can lead to development of acromegalic cardiomyopathy, characterized by concentric biventricular hypertrophy with a progressive impairment of diastolic and systolic function. The onset of heart failure and arrhythmias are related to poor prognosis. We report on a case of a 48-year-old man with acromegalic cardiomyopathy caused by pituitary adenoma. Despite the successful trans-sphenoidal resection of the tumour, the patient was rehospitalized for ventricular arrhythmic storms that led to cardiogenic shock, which required mechanical hemodynamic support with intra-aortic balloon pump, venoarterial extracorporeal membrane oxygenation, and urgent heart transplantation.

Titolo:	Acromegalic Cardiomyopathy With Malignant Arrhythmogenic Pattern Successfully Treated With Mechanical Circulatory Support and Heart Transplantation
Autori:	Doimo, Sara Miani, Daniela FINATO, Nicoletta Driussi, Mauro Sinagra, Gianfranco LIVI, Ugolino Proclemer, Alessandro mostra contributor esterni nascondi contributor esterni
Data di pubblicazione:	2017
Rivista:	CANADIAN JOURNAL OF CARDIOLOGY
Abstract:	Cardiovascular involvement is common in acromegaly and can lead to development of acromegalic cardiomyopathy, characterized by concentric biventricular hypertrophy with a progressive impairment of diastolic and systolic function. The onset of heart failure and arrhythmias are related to poor prognosis. We report on a case of a 48-year-old man with acromegalic cardiomyopathy caused by pituitary adenoma. Despite the successful trans-sphenoidal resection of the tumour, the patient was rehospitalized for ventricular arrhythmic storms that led to cardiogenic shock, which required mechanical hemodynamic support with intra-aortic balloon pump, venoarterial extracorporeal membrane oxygenation, and urgent heart transplantation.
Handle:	http://hdl.handle.net/11390/1108609
Appare nelle tipologie:	1.1 Articolo in rivista

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