Takotsubo syndrome after cardiac surgery

Ann Thorac Surg. 2008 Apr;85(4):1439-41. doi: 10.1016/j.athoracsur.2007.10.003.

Abstract

We have not found any reports to date of Takotsubo syndrome after cardiac surgery. Recently described Takotsubo syndrome is characterized by acute reversible left ventricular dysfunction with apical ballooning in the absence of coronary artery disease, and with chest pain and electrocardiographic changes mimicking acute anterior myocardial infarction, but with minimal release of myocardial enzymes. We describe Takotsubo syndrome that developed after elective mitral valve replacement and tricuspid annuloplasty in a 62-year-old woman. On supportive therapy with vasopressors, left ventricular function gradually improved with an ejection fraction returning to 50%. Takotsubo cardiomyopathy should be considered as a possible complication of the cardiac surgery.

Publication types

  • Case Reports

MeSH terms

  • Bioprosthesis*
  • Carbazoles / therapeutic use
  • Cardiopulmonary Bypass / methods
  • Carvedilol
  • Echocardiography, Transesophageal
  • Elective Surgical Procedures / adverse effects
  • Elective Surgical Procedures / methods
  • Female
  • Follow-Up Studies
  • Heart Valve Prosthesis Implantation / adverse effects*
  • Heart Valve Prosthesis Implantation / methods
  • Humans
  • Middle Aged
  • Mitral Valve Insufficiency / diagnostic imaging
  • Mitral Valve Insufficiency / etiology
  • Mitral Valve Insufficiency / surgery*
  • Propanolamines / therapeutic use
  • Rare Diseases
  • Rheumatic Heart Disease / complications
  • Rheumatic Heart Disease / diagnosis
  • Risk Assessment
  • Severity of Illness Index
  • Takotsubo Cardiomyopathy / drug therapy
  • Takotsubo Cardiomyopathy / etiology*
  • Takotsubo Cardiomyopathy / physiopathology
  • Treatment Outcome
  • Tricuspid Valve Insufficiency / diagnostic imaging
  • Tricuspid Valve Insufficiency / etiology
  • Tricuspid Valve Insufficiency / surgery*

Substances

  • Carbazoles
  • Propanolamines
  • Carvedilol