Cardiac Arrest during Transesophageal Echocardiogram (TEE) due to Acute Right Ventricular Failure.
Cooper B KerseyFitsumberhan MedhaneAndrew M PattockLinda LiuGary HuangAbhijit Vijay LeleYounghoon KwonPublished in: Case reports in cardiology (2021)
The case of a patient who suffered cardiac arrest while undergoing transesophageal echocardiography (TEE) is presented here. A 75-year-old man with moderate right ventricular (RV) dysfunction and pulmonary hypertension became bradycardic and hypotensive after receiving propofol for procedural sedation. His profound hypotension ultimately led to a pulseless electrical activity (PEA) cardiac arrest. TEE images captured immediately prior to cardiac arrest show a severely dilated and hypokinetic RV, consistent with acute right ventricular failure. This case highlights the potentially fatal consequences of procedural sedation in patients with RV dysfunction and pulmonary hypertension.
Keyphrases
- cardiac arrest
- pulmonary hypertension
- cardiopulmonary resuscitation
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- pulmonary artery
- respiratory failure
- pulmonary arterial hypertension
- drug induced
- oxidative stress
- aortic dissection
- mechanical ventilation
- left atrial appendage
- left ventricular
- computed tomography
- deep learning
- case report
- optical coherence tomography
- autism spectrum disorder
- machine learning
- extracorporeal membrane oxygenation