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- Title
Extracorporeal membrane oxygenation for takotsubo cardiomyopathy that developed after mitral valve replacement.
- Authors
Jeong-Hyun Choi; In Duk Oh; Eunsil Shin; Sangho Lee; Jong-Mi Jeon; Hyung-Tak Kim; Hyo-Chul Youn
- Abstract
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.
- Subjects
TAKOTSUBO cardiomyopathy; MITRAL valve; EXTRACORPOREAL membrane oxygenation; INTENSIVE care patients; ACUTE coronary syndrome; PSYCHOLOGICAL stress; CARDIAC surgery
- Publication
Acute & Critical Care, 2020, Vol 35, Issue 1, p51
- ISSN
2586-6052
- Publication type
Article
- DOI
10.4266/acc.2018.00304