Apparent End-Stage Heart Failure Forced Toward a Successful Myocardial Recovery.

ABSTRACT:

Background

Strategies to promote myocardial recovery from cardiogenic shock (CS) remain understudied.

Case summary

A 51-year-old woman with recently diagnosed heart failure (left ventricular ejection fraction <10%) presented in CS requiring milrinone and temporary mechanical circulatory support (t-MCS). Multimodality testing revealed no specific etiology, but cardiac positron emission tomography-flourodeoxyglucose imaging showed uptake in the colon. Biopsy was performed with tubulovillous adenoma with high-grade dysplasia necessitating colectomy/colostomy. Malignancy was excluded, but heart replacement therapy was deemed high risk due to colostomy. t-MCS was weaned, and inotropes were discontinued after months of guideline-directed medical therapy (guideline-directed medical

SUBMITTER: Behrman B 

PROVIDER: S-EPMC12462080 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature