Takotsubo Syndrome After Mitral Valve Replacement: Case Report and Brief Review of the Literature

Pergolini, Amedeo; Zampi, Giordano; Casali, Giovanni; Madeo, Andrea; Visconti, Claudia; Cipullo, Pier Luigi; Pino, Paolo Giuseppe; Musumeci, Francesco

doi:10.1053/j.jvca.2013.09.005

Cited by 18 publications

(19 citation statements)

References 10 publications

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“…Cases that appear during the intraoperative period represent a diagnostic challenge for the anesthesiologist. [ 11 12 ] Among the differential diagnoses of our case are ACS, a reaction to medications and pulmonary edema due to negative pressure. The literature contains multiple case reports related to the administration of medications, with the most prevalent being the alpha-adrenergic drugs, fundamentally adrenaline.…”

Section: Discussionmentioning

confidence: 97%

Transesophageal echo diagnosis of perioperative unusual transient left ventricular apical ballooning syndrome

Mantilla¹,

Móntes²,

Amaya³

2016

Ann Card Anaesth

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Stress cardiomyopathy, or Takotsubo syndrome, is a widely recognized cardiac pathology with a clinical presentation similar to acute coronary syndrome and related to physical or emotional stress. Perioperatively, it is challenging to identify it given the variety of forms and scenarios in which it can present. We describe a 22-year-old patient with an atypical presentation of Takotsubo syndrome during anesthesia induction, which highlights the usefulness of transesophageal echocardiography for the initial diagnosis.

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Section: Discussionmentioning

confidence: 97%

Transesophageal echo diagnosis of perioperative unusual transient left ventricular apical ballooning syndrome

Mantilla¹,

Móntes²,

Amaya³

2016

Ann Card Anaesth

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“…Takotsubo cardiomyopathy is triggered by emotional or physical stress. Takotsubo cardiomyopathy associated with surgery is reported to account for 3%-23% of all cases, and cardiomyopathy developing after cardiothoracic surgery accounted for 16% of these perioperative cases [6][7][8]. Patients suffer emotional stress at the prospect of undergoing a major surgery, and they also experience increased catecholamines by direct stimulation of pain.…”

Section: Discussionmentioning

confidence: 99%

Extracorporeal membrane oxygenation for takotsubo cardiomyopathy that developed after mitral valve replacement

Choi

Shin

et al. 2020

Acute Crit Care

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Extracorporeal membrane oxygenation for takotsubo cardiomyopathy that developed after mitral valve replacement Takotsubo cardiomyopathy is a transient systolic and diastolic left ventricular dysfunction that presents several wall-motion abnormalities, while the coronary artery shows normal findings. Because patients with Takotsubo cardiomyopathy present with symptoms similar to acute coronary syndrome, the initial diagnosis and treatment are often difficult. The condition is often precipitated by acute emotional or physical stress and frequently occurs in postmenopausal women. Takotsubo cardiomyopathy may also occur in the perioperative period after cardiac and noncardiac surgery; surgery-associated Takotsubo cardiomyopathy reportedly accounts for 3%-23% of all cases. Of these perioperative cases, cardiothoracic surgery accounted for 16%. However, few cases have been reported in patients undergoing cardiac surgery and managed with extracorporeal membrane oxygenation (ECMO). We report a case of Takotsubo cardiomyopathy managed with ECMO in a patient in the intensive care unit after mitral valve replacement.

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“…Takotsubo syndrome has been widely recognized as stress cardiomyopathy and only recently has been reported as postoperative complications following cardiac surgery 4,5 …”

Section: Commentmentioning

confidence: 99%

“…Takotsubo syndrome has been widely recognized as stress cardiomyopathy and only recently has been reported as postoperative complications following cardiac surgery. 4,5 Previously reported cases, however, occurred either immediately following cardiac surgery procedure either weeks or months after surgery. Severe hemodynamic impairment, furthermore, characterized the majority of cases, especially if occurred in the early postoperative course.…”

Section: Case Reportmentioning

confidence: 99%

“…3 More recently, however, few reported cases of postcardiac surgery takotsubo syndrome, have renewed the debate regarding the clinical aspect and impact of such syndrome. 4,5 Here we report a peculiar case of postoperative takotsubo syndrome, following mitral valve replacement, and we discuss its potentially relevant therapeutical implication.…”

Section: Introductionmentioning

confidence: 96%

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Rare but real: Takotsubo syndrome following mitral valve surgery

Totaro¹,

Triolo

Argano

2020

J Card Surg

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Background Takotsubo syndrome has been widely recognized as a stress cardiomyopathy and only recently has been also reported following cardiac surgery. Aims We present a case of takotsubo syndrome two days following a mitral valve replacement with a mechanical prosthesis. Materials and Methods A 64‐year‐old female patient underwent mitral valve replacement with a mechanical prosthesis. Two days later she presented clinical symptoms and diagnostic evidence supporting the diagnosis of takotsubo syndrome. Results Patient underwent full left ventricle function recovery and was discharged home on 10th postoperative days. Discussion The peculiar aspect of this case consist of the early postoperative transthoracic echocardiography, which showed, clearly, an optimal left ventricle function the day before sudden onset of the symptoms, thus allowing for a clear differential diagnosis with other potential causes of postoperative left ventricle failure. Conclusion This case confirms that takotsubo syndrome has to be carefully considered in differential diagnosis in case of acute left ventricle dysfunction following cardiac surgery.

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Takotsubo Syndrome After Mitral Valve Replacement: Case Report and Brief Review of the Literature

Cited by 18 publications

References 10 publications

Transesophageal echo diagnosis of perioperative unusual transient left ventricular apical ballooning syndrome

Transesophageal echo diagnosis of perioperative unusual transient left ventricular apical ballooning syndrome

Extracorporeal membrane oxygenation for takotsubo cardiomyopathy that developed after mitral valve replacement

Rare but real: Takotsubo syndrome following mitral valve surgery

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