ArticleCase reports in medicine2026
Acute Right Ventricular Failure Triggered by Excessive Fluid Resuscitation in Septic Shock.
Article in Case reports in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Acute Right Ventricular Failure Triggered by Excessive Fluid Resuscitation in Septic Shock.Case reports in medicine · 2026Article
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Authors and funding
1 author.
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Abstract
Acute right ventricular (RV) failure is a serious but underappreciated complication of septic shock resuscitation. Septic shock involves both relative hypovolemia and pathological vasoplegia [1, 2]. Fluid resuscitation is essential early, but excessive volumes can precipitate RV dilation, systolic dysfunction, and venous congestion before the problem is recognized. We report a 68-year-old postoperative patient who developed hemodynamic deterioration after 10 L of crystalloid for abdominal sepsis. Bedside echocardiography identified severe RV dilation with a D-sign, a TAPSE of 10 mm, and a plethoric noncollapsing inferior vena cava (IVC) of 28 mm. De-resuscitation with diuresis and vasopressors produced transient improvement, but the patient died 1 week later from recurrent sepsis due to an anastomotic leak. The case shows that fluid-induced RV failure can develop silently and may be reversible if caught early. Earlier echocardiographic monitoring might have allowed earlier recognition before hemodynamic collapse developed.
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