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BJA Advance Access published online on June 25, 2004
British Journal of Anaesthesia, doi:10.1093/bja/aeh185
© 2004 by The Board of Management and Trustees of the British Journal of Anaesthesia
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Accepted February 5, 2004

Case Report

Successful weaning from mechanical ventilation after coronary angioplasty

A. Demoule 1, Y. Lefort 1, M.-E. Lopes 2, F. Lemaire 1*

1 Medical Intensive Care Unit, University Hospital Henri-Mondor and Medical Faculty (Paris XII), Créteil, France
2 Department of Cardiology, University Hospital Henri-Mondor and Medical Faculty (Paris XII), Créteil, France

* To whom correspondence should be addressed. E-mail: francois.lemaire{at}hmn.ap-hop-paris.fr.


  Abstract

Weaning failure can be caused by myocardial ischaemia during the switch from mechanical to spontaneous ventilation. We report ischaemic left ventricular failure and ischaemic mitral insufficiency during weaning. Angiography showed that the coronary vessels were stenosed. Transluminal angioplasty made weaning possible. We conclude that acute ischaemic mitral insufficiency may contribute to cardiac failure during weaning and that angioplasty, by reversing it, can allow successful weaning.

Keywords: complications, myocardial ischaemia; heart, left ventricular dysfunction; heart, mitral insufficiency; surgery, coronary angioplasty; ventilation, mechanical; ventilation, weaning.
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