Remzi KARAOĞUZ, Muharrem GÜLDAL, Timuçin ALTIN, Ömer AKYÜREK

Acute pulmonary edema during cardiac resynchronization therapy device implantation: Management with intraaortic balloon pump insertion

Bu vaka takdiminde, kardiyak resenkronizasyon tedavi cihazı takılması esnasında akut akciğer ödemi gelişen iki hastayı sunuyoruz. Her iki hastada da intraaortik balon pompası takılması klinik durumu hemen düzeltmiş ve operasyon tamamlanabilmiştir

Kardiyak resenkronizasyon tedavi cihazı takılması sırasında gelişen akut akciğer ödeminin intraaortik balon pompası ile tedavisi

In this case report, we present two patients who experienced acute pulmonary edema during cardiac resynchronization therapy device implantation. In both patients, insertion of an intraaortic balloon pump immediately improved clinical condition and the operation could be completed, which would otherwise had to be postponed.

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1) Bristow MR, Saxon LA, Boehmer J, et al: Comparison of Medical Therapy, Pacing, and Defibrillation in Heart Failure (COMPANION) Investigators. Cardiac resynchronization therapy with or without an implantable defibrillator in advanced chronic heart failure. N Engl J Med 2004; 350:2140-50.
2) Cleland JG, Daubert JC, Erdmann E, et al: Cardiac Resynchronization – Heart Failure (CARE-HF) Study Investigators. The effect of cardiac resynchronization on morbidity and mortality in heart failure. N Engl J Med 2005; 352:1539-49.
3) Abraham WT, Fisher WG, Smith AL, et al; MIRACLE Study Group. Multicenter InSync Randomized Clinical Evaluation. Cardiac resynchronization in chronic heart failure. N Engl J Med 2002;346:1845-53.
4) Richenbacher WE, Pierce WS. Assisted circulation and the mechanical heart. In: Braunwald E, ed. Heart Disease: A Textbook of Cardiovascular Medicine. Pennsylvania, WB Saunders Co, 1997:534-547.
5) Opie LH. Mechanisms of cardiac contraction and relaxation. In: Braunwald E, ed. Heart Disease: A Textbook of Cardiovascular Medicine. Pennsylvania, WB Saunders Co, 1997:360-393.
6) Komamura K, Shannon RP, Ihara T, et al. Exhaustion of Frank-Starling mechanism in conscious dogs with heart failure. Am J Physiol. 1993;265:H1119-31.
7) Bettmann MA, Bourdillon PD, Barry WH, et al. Contrast agents for cardiac angiography: effects of a nonionic agent vs. a standard ionic agent. Radiology 1984;153:583-587.
8) Patel H, Shafazand M, Schaufelberger M, et al. Reasons for seeking acute care in chronic heart failure. Eur J Heart Fail 2007;9:702-708.
9) Ma Y, Li HC, Zheng LL, et al. Hemodynamic changes in depressive patients. J Zhejiang Univ Sci B 2006:133-137.