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

作者：Doimo Sara^*; Miani Daniela; Finato Nicoletta; Driussi Mauro; Sinagra Gianfranco; Livi Ugolino; Proclemer Alessandro

来源：Canadian Journal of Cardiology, 2017, 33(6): 830.e9.

DOI：10.1016/j.cjca.2017.02.006

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 48year-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.

• 出版日期2017-6