Penn State Hershey Heart and Vascular Institute, Pennsylvania State University College of Medicine, Milton S. Hershey Medical Center, Hershey, Pennsylvania.
Penn State Hershey Heart and Vascular Institute, Pennsylvania State University College of Medicine, Milton S. Hershey Medical Center, Hershey, Pennsylvania.
Ann Thorac Surg. 2014 May;97(5):1777-8. doi: 10.1016/j.athoracsur.2013.08.032.
We report a case of Takotsubo's syndrome in a 37-year-old woman after mitral valve repair for severe mitral regurgitation triggered by a severe protamine reaction that was likely associated with immune-mediated coronary hypersensitivity (Kounis' syndrome) and made worse by resuscitation with high doses of catecholamines. The patient recovered fully after a 4-day course of extracorporeal membrane oxygenation therapy (ECMO).
我们报告了一例 37 岁女性因严重鱼精蛋白反应导致二尖瓣关闭不全行二尖瓣修复术后发生心尖球囊综合征的病例,该反应可能与免疫介导的冠状动脉超敏反应(Kounis 综合征)有关,并因使用大剂量儿茶酚胺复苏而加重。患者在接受 4 天体外膜氧合治疗(ECMO)后完全康复。