Key result
V-AV ECLS successfully bridges a patient with severe takotsubo cardiomyopathy and hypoxia to cardiac recovery.
Why the study?
The incidence of mechanical support is rising in patients presenting with takotsubo cardiomyopathy and cardiogenic shock, and V-AV ECLS may represent a viable support strategy.
Case Report (n=1)
V-AV ECLS may serve as a viable mechanical support strategy for patients with severe takotsubo cardiomyopathy complicated by hypoxia and cardiogenic shock.
May be viable for takotsubo cardiomyopathy with shock and hypoxia; hypothesis-generating pending larger studies.
In this case report, the authors describe the use of venoarteriovenous extracorporeal life support (V-AV ECLS) for a patient presenting with severe takotsubo cardiomyopathy (TCM) secondary to a breakthrough seizure. Given a presentation of hypoxia, V-AV ECLS was instituted and weaned quickly after cardiac recovery. The patient was discharged home after complications from cardiogenic shock resolved. The incidence of mechanical support is rising in patients presenting with TCM, and cardiogenic shock and V-AV ECLS may become a viable support method for this specific patient population.
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Slowey et al. (2026) conducted a case report in Severe takotsubo cardiomyopathy (n=1). Venoarteriovenous extracorporeal life support (V-AV ECLS) was evaluated on Cardiac recovery and hospital discharge. Venoarteriovenous extracorporeal life support (V-AV ECLS) successfully supported a patient with severe takotsubo cardiomyopathy and hypoxia, resulting in cardiac recovery and discharge home.
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