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Development of stress-induced cardiomyopathy after cytoreductive surgery and hyperthermic intraperitoneal chemotherapy
Author(s)
Saad Ahmed Naved Department of Anesthesia, Shifa International Hospital, Islamabad, Pakistan
Sadiq Shoukat Parpia Department of Anesthesia, Shifa International Hospital, Islamabad, Pakistan
Huma Shoukat Ali Aga Khan University Hospital,Karachi,Pakistan
Abstract
Pseudomyxoma Peritonei, a massive mucinous peritoneal collection due to a rare epithelial neoplasm, can be effectively treated with Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy (CRS-HIPEC). A 43-year-old female, previously treated for mucinous ovarian carcinoma with CRS-HIPEC, and total abdominal hysterectomy and bilateral salpingo-oophorectomy, presented with new-onset abdominal distension and early satiety. She was diagnosed with Pseudomyxoma Peritonei. After 48 hours of treatment with CRS-HIPEC, she presented haemodynamically unstable with acute chest pain. Electrocardiogram showed broad complex tachycardia with ST depression in leads V3-6. Severe systolic dysfunction with Ejection Fraction (EF) of 20% along with severe pulmonary hypertension, visualized on Echocardiography. A diagnosis of Stress-induced Cardiomyopathy was established using InterTAK Diagnostic Score. Patients with CRS-HIPEC have presented with Stressinduced Cardiomyopathy. However, no specifi c relation between the two has been established. This case report discusses Stress-induced Cardiomyopathy as a complication of CRS-HIPEC.
Publication Details
Page(s) 1686-1688
DOI DOI not available
Published Journal: Journal of Pakistan Medical Association, Volume: 71, Issue: 6, Year: 2021
Keywords
Cardiomyopathy chemotherapy Cytoreduction Stressinduced
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