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主动脉瓣修复及升主动脉置换术后心包穿刺引流后发生的应激性心肌病

Takotsubo Cardiomyopathy Following Pericardiocentesis After Aortic Valve Repair and Ascending Aorta Replacement.

作者信息

Belluschi Igor, Cioni Micaela, Moriggia Stefano, Alfieri Ottavio

机构信息

Department of Cardiac Surgery, San Raffaele University Hospital, Milan, Italy.

Department of Cardiac Surgery, San Raffaele University Hospital, Milan, Italy.

出版信息

Ann Thorac Surg. 2016 Oct;102(4):e291-3. doi: 10.1016/j.athoracsur.2016.02.021.

Abstract

Takotsubo cardiomyopathy is a reversible cardiomyopathy, which generally developes in menopausal women and is characterized by left ventricle dysfunction with apical ballooning in the absence of coronary artery disease. It is often triggered by a stressful event, and its clinical presentation resembles acute anterior myocardial infarction. This condition is a rare adverse event of cardiac operations, and only a few cases are described in the literature, especially after mitral valve operations. We report the case of a 69-year-old man who underwent aortic valve repair and ascending aorta replacement, followed by pericardial effusion 6 months later, requiring pericardiocentesis resulting in Takotsubo cardiomyopathy.

摘要

应激性心肌病是一种可逆性心肌病,多见于绝经后女性,其特征为在无冠状动脉疾病的情况下出现左心室功能障碍伴心尖部气球样变。该病常由应激事件诱发,临床表现类似急性前壁心肌梗死。这种情况是心脏手术罕见的不良事件,文献中仅有少数病例报道,尤其是二尖瓣手术后。我们报告一例69岁男性患者,该患者接受了主动脉瓣修复和升主动脉置换术,6个月后出现心包积液,需要进行心包穿刺引流,结果引发了应激性心肌病。

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