Hemodynamic Collapse Caused by Cardiac Dysfunction and Abdominal Compartment Syndrome in a Patient with Mitochondrial Disease

Abstract

We herein report a case of mitochondrial disease with heart and intestinal tract involvement resulting in hemodynamic collapse. A 66-year-old woman was transferred to our hospital because of cardiogenic shock. Vasopressors were administered, and a circulatory support device was deployed. However, her hemodynamics did not improve sufficiently, and we detected abdominal compartment syndrome caused by the aggravation of chronic intestinal pseudo-obstruction as a complication. Insertion of a colorectal tube immediately decreased the intra-abdominal pressure, improving the hemodynamics. Finally, we diagnosed her with mitochondrial disease, concluding that the resulting combination of acute heart failure and abdominal compartment syndrome had aggravated the hemodynamics.

Atraumatic Polycompartment Syndrome Secondary to Cardiogenic Shock: A Case Report

“…Our patient underwent laparostomy three days after cardiac arrest, two full days later than in a similar case in which AbCS did not progress to PCS and which resulted in patient survival [ 4 ]. There exist successful cases of alternative treatments for secondary AbCS, but the underlying theme is rapid recognition of the syndrome within 24 hours and initiation of therapy [ 4 , 31 ].…”