Successful Extracorporeal Membrane Oxygenation for Refractory Cardiogenic Shock Due to the Catastrophic Antiphospholipid Syndrome
Authors: Xavier Repéssé, Yonathan Freund, Alexis Mathian, Baptiste Hervier, Zahir Amoura, Charles-Edouard Luyt
Journal: Annals of Internal Medicine (2010)

Letters5 October 2010Successful Extracorporeal Membrane Oxygenation for Refractory Cardiogenic Shock Due to the Catastrophic Antiphospholipid SyndromeXavier Repéssé, MD, Yonathan Freund, MD, Alexis Mathian, MD, PhD, Baptiste Hervier, MD, Zahir Amoura, MD, and Charles-Edouard Luyt, MD, PhDXavier Repéssé, MDFrom Groupe Hospitalier Pitié–Salpêtrière, Assistance Publique–Hôpitaux de Paris, Université Paris 6–Pierre-et-Marie-Curie, 75651 Paris, France., Yonathan Freund, MDFrom Groupe Hospitalier Pitié–Salpêtrière, Assistance Publique–Hôpitaux de Paris, Université Paris 6–Pierre-et-Marie-Curie, 75651 Paris, France., Alexis Mathian, MD, PhDFrom Groupe Hospitalier Pitié–Salpêtrière, Assistance Publique–Hôpitaux de Paris, Université Paris 6–Pierre-et-Marie-Curie, 75651 Paris, France., Baptiste Hervier, MDFrom Groupe Hospitalier Pitié–Salpêtrière, Assistance Publique–Hôpitaux de Paris, Université Paris 6–Pierre-et-Marie-Curie, 75651 Paris, France., Zahir Amoura, MDFrom Groupe Hospitalier Pitié–Salpêtrière, Assistance Publique–Hôpitaux de Paris, Université Paris 6–Pierre-et-Marie-Curie, 75651 Paris, France., and Charles-Edouard Luyt, MD, PhDFrom Groupe Hospitalier Pitié–Salpêtrière, Assistance Publique–Hôpitaux de Paris, Université Paris 6–Pierre-et-Marie-Curie, 75651 Paris, France.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-153-7-201010050-00027 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail Background: The catastrophic antiphospholipid syndrome (CAPS), an unusual presentation of the antiphospholipid syndrome (APS), has a high mortality rate, one of the main causes of death being acute cardiac failure. Extracorporeal membrane oxygenation (ECMO) has successfully been used in patients with refractory heart failure but has never been described in patients with CAPS.Objective: To report successful use of ECMO in a patient with refractory cardiogenic shock due to CAPS.Case Report: A 22-year-old woman developed deep venous thrombosis 8 years ago, which was diagnosed as primary APS and treated with warfarin. Since then, she had had no other thromboembolic ...References1. Asherson RA. The catastrophic antiphospholipid syndrome [Editorial]. J Rheumatol. 1992;19:508-12. [PMID: 1593568] MedlineGoogle Scholar2. Asherson RA, Cervera R, de Groot PG, Erkan D, Boffa MC, Piette JC, et al; Catastrophic Antiphospholipid Syndrome Registry Project Group. Catastrophic antiphospholipid syndrome: international consensus statement on classification criteria and treatment guidelines. Lupus. 2003;12:530-4. [PMID: 12892393] CrossrefMedlineGoogle Scholar3. Asherson RA. The catastrophic antiphospholipid (Asherson's) syndrome in 2004—a review. Autoimmun Rev. 2005;4:48-54. [PMID: 15652779] CrossrefMedlineGoogle Scholar4. Bucciarelli S, Cervera R, Espinosa G, Gómez-Puerta JA, Ramos-Casals M, Font J. Mortality in the catastrophic antiphospholipid syndrome: causes of death and prognostic factors. Autoimmun Rev. 2006;6:72-5. [PMID: 17138246] CrossrefMedlineGoogle Scholar5. Cervera R, Piette JC, Font J, Khamashta MA, Shoenfeld Y, Camps MT, et al; Euro-Phospholipid Project Group. Antiphospholipid syndrome: clinical and immunologic manifestations and patterns of disease expression in a cohort of 1,000 patients. Arthritis Rheum. 2002;46:1019-27. [PMID: 11953980] CrossrefMedlineGoogle Scholar Author, Article, and Disclosure InformationAuthors: Xavier Repéssé, MD; Yonathan Freund, MD; Alexis Mathian, MD, PhD; Baptiste Hervier, MD; Zahir Amoura, MD; Charles-Edouard Luyt, MD, PhDAffiliations: From Groupe Hospitalier Pitié–Salpêtrière, Assistance Publique–Hôpitaux de Paris, Université Paris 6–Pierre-et-Marie-Curie, 75651 Paris, France.Disclosures: None disclosed. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics Cited byCardiogenic shock in autoimmune rheumatologic diseases: an insight on etiologies, management, and treatment outcomesSystemic lupus and catastrophic antiphospholipid syndrome manifesting as cardiogenic shockA case of catastrophic antiphospholipid syndrome: first report with advanced cardiac imaging using MRIBack from the Brink: Catastrophic Antiphospholipid SyndromeSyndrome des antiphospholipidesAutoimmune diseases in the intensive care unit. An updateUsefulness of cardiac biomarkers to predict cardiac recovery in patients on extracorporeal membrane oxygenation support for refractory cardiogenic shockLe syndrome catastrophique des antiphospholipides 5 October 2010Volume 153, Issue 7Page: 487-488KeywordsAntiphospholipid syndromeExtracorporeal membrane oxygenationHeart failureLaparoscopyLeft ventricular ejection fractionLungsPlateletsRespiratory failureShockTroponin ePublished: 5 October 2010 Issue Published: 5 October 2010 Copyright & PermissionsCopyright © 2010 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...