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European Journal of Echocardiography Advance Access published online on June 13, 2009
European Journal of Echocardiography, doi:10.1093/ejechocard/jep073
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Bubble trouble: anaphylactic shock, threatened myocardial infarction, and transient renal failure after intravenous echo contrast for left ventricular cavity opacification preceding dobutamine stress echo

Adrian Ionescu*

Morriston Cardiac Centre, Morriston, Swansea SA6 6NL, Wales, UK

Received 1 May 2009; accepted after revision 9 May 2009.

* Corresponding author. Tel: +44 179 270 3195; fax: +44 179 270 3544. E-mail address: adrian.ionescu{at}swansea-tr.wales.nhs.uk


  Abstract

Echo contrast agents are widely used and safe but can rarely produce serious side effects. This—to the author's knowledge—is the first detailed published case report of a patient who had a severe and complex sequence of adverse reactions within 3 min of having an intravenous infusion of Sonovue initiated, and where the causal connection between Sonovue and the adverse reaction is not diluted by potential side effects from dobutamine.

Keywords: Sonovue; Anaphylactic shock; Dobutamine stress echo


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