Refractory anaphylactic shock complicated by acute right heart failure during anesthetic induction in a patient with a left ventricular assist device: a case report
- Published on 07/27/2026
- Reading time: 1 min.
Kaneko, Shohei; Matsumoto, Sojiro; Ichinomiya, Taiga; Higashijima, Ushio; Sekino, Motohiro; Hara, Tetsuya
Abstract
Background: Anaphylaxis in patients with a left ventricular assist device (LVAD) may critically reduce LVAD flow, particularly when the right ventricular function is impaired.
Case presentation: A 51-year-old man with a HeartMate III LVAD developed bronchospasm, profound hypotension, and decreased LVAD flow during anesthetic induction for endoscopic sinus surgery. The shock remained refractory despite epinephrine boluses and continuous infusions of...
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