Daboussi A, Fourcade O, Payoux P, Tissot B, Sacrista S, Samii K. Hémorragie méningée et défaillance myocardique : intérêt du monitorage hémodynamique par doppler œsophagien.
ACTA ACUST UNITED AC 2006;
25:1080-2. [PMID:
17005350 DOI:
10.1016/j.annfar.2006.07.082]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2006] [Accepted: 07/10/2006] [Indexed: 11/26/2022]
Abstract
Spontaneous subarachnoidal haemorrhage can be associated with neurogenic pulmonary oedema and cardiogenic shock. The presentation is an ischemic myocardial dysfunction associated with normal coronary arteries. Hypoxaemia associated with arterial hypotension on patients with brain injury can worsen neurological outcome. The administration of norepinephrine associated with fluid expansion could be deleterious on cardiac function. We report the case of a patient with acute pulmonary oedema associated with post-aneurysmal subarachnoid haemorrhage managed with transoesophageal Doppler monitoring.
Collapse