Key result
Inotropic support and IABP resolve delayed post-mitral valve replacement Takotsubo cardiomyopathy.
Why the study?
Delayed onset Takotsubo cardiomyopathy after mitral valve replacement is a rare and underrecognized cause of ventricular dysfunction in postcardiac surgery patients.
Case Report (n=1)
Takotsubo cardiomyopathy should be considered as a potential cause of delayed ventricular dysfunction and cardiogenic shock in post-cardiac surgery patients.
Delayed Takotsubo cardiomyopathy may cause late cardiogenic shock after valve surgery; this Level 5 case leaves open its incidence and surveillance needs.
We report a case of delayed onset Takotsubo cardiomyopathy (TC) in a 69-year-old woman, associated with minor stressors, two weeks after mitral valve replacement. After suffering several minor complications she had fully recovered and her discharge was planned. On the 14th postoperative day she had to be resuscitated due to cardiogenic shock. TC was diagnosed based on reduced ventricular function with apical ballooning and normal coronaries. Treatment with catecholamines and intra-aortic balloon pump led to full recovery. She continues to do well two years after surgery. TC should be considered as a potential cause of delayed ventricular dysfunction in postcardiac surgery patients.
No takes yet. Share an insight, caveat, or question.
Färber et al. (2011) conducted a case report in Takotsubo cardiomyopathy after mitral valve replacement (n=1). Mitral valve replacement was evaluated on Clinical recovery. Delayed onset Takotsubo cardiomyopathy occurred 14 days post-mitral valve replacement in a 69-year-old woman, who fully recovered following catecholamine and intra-aortic balloon pump therapy.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: