Neurogenic-stunned Myocardium and Pulmonary Edema Following a Ruptured Cerebral Aneurysm: A Case Report.
10.4266/kjccm.2010.25.2.93
- Author:
Sung Ha MUN
1
;
Won Joon CHOI
;
Jeong Min MOK
;
Jae Young YANG
;
Chul Ho WOO
Author Information
1. Department of Anesthesiology and Pain Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea. anesmun@hanmail.net
- Publication Type:Case Report
- Keywords:
aspiration pneumonia;
neurogenic pulmonary edema;
stunned myocardium
- MeSH:
Aneurysm;
Electrocardiography;
Glasgow Coma Scale;
Heart Failure;
Humans;
Hypotension;
Lung;
Myocardial Stunning;
Myocardium;
Oxygen;
Pneumonia, Aspiration;
Pulmonary Edema;
Subarachnoid Hemorrhage;
Thorax;
Troponin T
- From:The Korean Journal of Critical Care Medicine
2010;25(2):93-97
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
We report a case of neurogenic cardiopulmonary instability with pulmonary edema occurring after an aneurysmal subarachnoid hemorrhage. The patient's pre-operative Glasgow coma scale score was 6 and the PA chest radiograph showed increased diffuse haziness in the right lung field. The patient presented with severe hypotension and low oxygen saturation during surgery. Cardiac damage was documented by increased CK-MB troponin-T levels, and ischemic ECG findings. Reversible cardiac failure associated with subarachnoid hemorrhage may be due to a neurogenic-stunned myocardium. The patient underwent clipping of the aneurysm and recovered with minimal neurologic impairment and normal cardiac function.
