Case: The patient was a 28-year-old female with dilated cardiomyopathy and Emery-Dreifuss
muscular dystrophy. She had admitted to our hospital 21 months prior with acute decompensated
heart failure and standard therapy for heart failure including CRT-D had been introduced,
however thereafter, her left ventricular ejection fraction had been around 20%. She
had frequently admitted with acute renal failure caused by diarrhea and mild dehydration.
This time, she appeared with increased level of creatinine and increased body weight
and ascites. Dobutamine, intravenous furosemide, extracorporeal ultrafiltration method
(ECUM), and cessation of ACE inhibitor were effective to increase urine volume and
to decrease ascites, respectively and transiently. However, once after transaminase
started to increase, body weight and ascites restarted to increase. Subsequently,
central venous pressure increased and became ECUM-dependent and a left ventricular
assist device was introduced. Conclusion: In treatment of patients with advanced heart failure with severe systolic dysfunction,
right heart failure is critical.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Cardiac FailureAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
