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Anaphylactic shock after amiodarone infusion resulting in haemodynamic collapse requiring a temporary ventricular assist device

Published online by Cambridge University Press:  18 December 2013

Konstantin Averin*
Affiliation:
Cincinnati Children’s Hospital Medical Center, The Heart Institute, Cincinnati, Ohio, United States of America
Angela Lorts
Affiliation:
Cincinnati Children’s Hospital Medical Center, The Heart Institute, Cincinnati, Ohio, United States of America
Chad Connor
Affiliation:
Cincinnati Children’s Hospital Medical Center, The Heart Institute, Cincinnati, Ohio, United States of America
*
Correspondence to: Dr K. Averin MD, 3333 Burnet Ave, Cincinnati, OH 45229, United States of America. Tel: (513) 636-3863; Fax: (513) 636-3952; E-mail: konstantin.averin@cchmc.org

Abstract

Acute heart failure related to anaphylactic shock is often reversible and necessitates aggressive support to ensure full recovery. We report the case of a 15-year-old boy who developed severe ventricular dysfunction and haemodynamic instability after administration of amiodarone and required temporary mechanical circulatory support with a left ventricular assist device. He had full recovery of cardiac function and returned to baseline neurologic status. This is the first report of successful left ventricular assist device use for recovery from cardiovascular collapse due to anaphylaxis.

Type
Brief Reports
Copyright
© Cambridge University Press 2013 

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