Successful Treatment of Cardiogenic Shock Due to Takotsubo Cardiomyopathy With Left Ventricular Outflow Tract Obstruction and Acute Mitral Regurgitation by Impella CP

Ales Benak; Marek Sramko; Bronislav Janek; Michael Zelizko; Josef Kautzner

doi:10.7759/cureus.23168

Successful Treatment of Cardiogenic Shock Due to Takotsubo Cardiomyopathy With Left Ventricular Outflow Tract Obstruction and Acute Mitral Regurgitation by Impella CP

Cureus. 2022 Mar 15;14(3):e23168. doi: 10.7759/cureus.23168. eCollection 2022 Mar.

Authors

Ales Benak¹, Marek Sramko¹, Bronislav Janek¹, Michael Zelizko¹, Josef Kautzner¹

Affiliation

¹ Department of Cardiology, Institute for Clinical and Experimental Medicine, Prague, CZE.

Abstract

Treatment of Takotsubo cardiomyopathy (TC) with left ventricular outflow obstruction (LVOTO) remains challenging. Mechanical circulatory support (MCS) as a bridge to myocardial recovery is sometimes the only therapeutic option, even though the optimal type of MCS is still under debate. This report describes a case of TC complicated by cardiogenic shock due to LVOTO and severe mitral regurgitation that was successfully treated with the latest generation percutaneous pump Impella CP®.

Keywords: apical ballooning syndrome; cardiogenic shock; impella; left ventricular outflow tract obstruction; mechanical circulatory support; takotsubo.

Publication types

Case Reports