Takotsubo cardiomyopathy after elective mitral valve replacement

Blázquez, J.A.; González, José M.; Dalmau, María José; López, José María Rodríguez

doi:10.1510/icvts.2010.234013

Cited by 28 publications

(25 citation statements)

References 7 publications

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“…5 Belazquez et al in Spain observed apical ballooning syndrome after elective mitral valve replacement. 6 Wong in Hong Kong described Takotsubo syndrome after extirpation of a left atrial myxoma. 7 It is possible that some cases of transient left ventricular sphericalization after mi-tral valve replacement, which remained unexplained before the recognition of this phenomenon, were cases of Takotsubo syndrome.…”

Section: Discussionmentioning

confidence: 99%

Takotsubo Cardiomyopathy after Elective Aortic and Mitral Valve Replacement

Vazhev

Stoev

2020

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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 (CAD). Reports of Takotsubo syndrome after cardiac surgery are exceptional. We describe a case of Takotsubo cardiomyopathy in a 57-year-old man after elective aortic and mitral valve replacement following recent convalescence from infective endocarditis. Takotsubo syndrome should be considered in the differential diagnosis of patients presenting acute myocardial infarction, cardiogenic shock or any low cardiac output syndrome after cardiac surgery.

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Section: Discussionmentioning

confidence: 99%

Takotsubo Cardiomyopathy after Elective Aortic and Mitral Valve Replacement

Vazhev

Stoev

2020

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“…Several cases of TTC have been described in the literature. TTC have been reported particularly in association with general anesthesia; 9-12 surgical interventions including laparoscopic cholecystectomy, total gastrectomy, mitral valve replacement, and paranasal sinus surgery; [13][14][15][16][17] clinical situations including MRSA meningitis, acute diarrhea, thyroid storm, pheochromocytoma, status asthmaticus, acute pericarditis, seizures, Guillaine Barre, multiple myeloma, cerebrovascular accident, coughing, and near drowning; 6,[18][19][20][21][22][23][24][25][26][27][28] exposure to various medications; and methadone withdrawal. 29,30 Each case of the above situations is capable to induce a significant emotional stress.…”

Section: Discussionmentioning

confidence: 99%

Takotsubo Cardiomyopathy Associated with Peritonitis in Peritoneal Dialysis Patient

Saeedi

Hassan

et al. 2011

Renal Failure

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Takotsubo cardiomyopathy (TTC) is characterized by clinical and electrocardiographic features that mimic acute myocardial infarction, normal or mildly elevated cardiac enzymes, distinctive left ventricular wall motion abnormalities, and absence of significant obstructive coronary artery disease. Often there is a history of emotional stress and usually encountered in postmenopausal women. Excessive catecholamine stimulation plays an important role in the pathogenesis of TTC. Usually, this condition is reversible within several weeks to months. Only two cases of TTC were described in patients on hemodialysis. To our knowledge, we report the first case of TTC in peritoneal dialysis and the first case associated with peritonitis.

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“…Blàzquez et al described one of the first cases of TC occurring after elective mitral valve replacement. At the end of uneventful cardiopulmonary bypass, prosthetic mitral valve function and left ventricular contraction were normal on transesophageal echocardiography.…”

Section: Takotsubo Cardiomyopathy and Cardiac Surgerymentioning

confidence: 99%

“…Administration of beta blockers is indicated in order to increase diastolic ventricular filling time and left ventricular end‐diastolic volume. Phenylephrine administration may increase afterload with subsequent reduction of the intraventricular gradient …”

Section: Takotsubo Cardiomyopathy and Cardiac Surgerymentioning

confidence: 99%

Takotsubo Cardiomyopathy Following Cardiac Surgery

et al. 2015

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Background: Takotsubo cardiomyopathy syndrome, commonly occurring in postmenopausal women, is characterized by transient apical systolic dysfunction in absence of coronary lesions. The cardiomyopathy is often observed after intense stressful events such as a major surgical procedure. Methods: A 72-year-old woman symptomatic for dyspnea at rest, chest pain, and peripheral edema successfully underwent surgery for noncoronary sinus aneurysm-right atrium fistula repair. Two days after surgery the patient developed takotsubo syndrome, diagnosed according to the Mayo Clinic criteria. We reviewed the literature on takotsubo cardiomyopathy as a complication of major cardiac surgery procedures. Results: Takotsubo cardiomyopathy is confirmed as a possible early complication of cardiac surgery. Exaggerated sympathetic stimulation may cause massive endogenous catecholamine release. Hypoperfusion during cardiopulmonary bypass, inotropic drugs administration, and postoperative anxiety and pain are all factors generating stress, possible coronary artery spasm and transient cardiomyopathy, clinically simulating acute myocardial infarction. Several clinical features have been described such as acute mitral insufficiency, systolic anterior motion of the anterior mitral valve leaflet, left ventricular outflow tract obstruction, acute cardiac failure, and cardiogenic shock. Intraventricular thrombi and adverse cerebrovascular events may also be possible complications. Rare catastrophic events such as left ventricular free wall rupture and ventricular septal perforation have been also encountered. Conclusions: After cardiac surgery takotsubo cardiomyopathy should be suspected if clinical and instrumental criteria are met, and promptly differentiated from the more frequent acute myocardial infarction. Prognosis may be favorable if appropriate conservative medical treatment is promptly started.

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Takotsubo cardiomyopathy after elective mitral valve replacement

Cited by 28 publications

References 7 publications

Takotsubo Cardiomyopathy after Elective Aortic and Mitral Valve Replacement

Takotsubo Cardiomyopathy after Elective Aortic and Mitral Valve Replacement

Takotsubo Cardiomyopathy Associated with Peritonitis in Peritoneal Dialysis Patient

Takotsubo Cardiomyopathy Following Cardiac Surgery

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