Takotsubo cardiomyopathy after elective mitral valve replacement

Interact Cardiovasc Thorac Surg. 2010 Jul;11(1):117-9. doi: 10.1510/icvts.2010.234013. Epub 2010 Apr 15.

Abstract

Takotsubo cardiomyopathy is a syndrome characterized by transient acute left ventricular dysfunction, electrocardiographic changes that can mimic acute myocardial infarction and minimal release of myocardial enzymes in the absence of obstructive coronary artery disease. Reports of Takotsubo syndrome after cardiac surgery are exceptional. We describe a case of Takotsubo cardiomyopathy in a 68-year-old woman after elective mitral valve replacement. Takotsubo syndrome should be considered in the differential diagnosis of patients presenting cardiogenic shock after cardiac surgery.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Cardiotonic Agents / therapeutic use
  • Echocardiography, Transesophageal
  • Elective Surgical Procedures
  • Female
  • Fluid Therapy
  • Heart Valve Prosthesis Implantation / adverse effects*
  • Hemodynamics
  • Humans
  • Intra-Aortic Balloon Pumping
  • Mitral Valve / surgery*
  • Mitral Valve Insufficiency / surgery*
  • Mitral Valve Stenosis / surgery*
  • Shock, Cardiogenic / etiology
  • Takotsubo Cardiomyopathy / diagnostic imaging
  • Takotsubo Cardiomyopathy / etiology*
  • Takotsubo Cardiomyopathy / physiopathology
  • Takotsubo Cardiomyopathy / therapy
  • Treatment Outcome
  • Ventricular Dysfunction, Left / diagnostic imaging
  • Ventricular Dysfunction, Left / etiology*
  • Ventricular Dysfunction, Left / physiopathology
  • Ventricular Dysfunction, Left / therapy
  • Ventricular Function, Left

Substances

  • Cardiotonic Agents