Department of Paediatric Cardiology, Ludwig-Maximilians University, Munich, Germany.
World J Pediatr Congenit Heart Surg. 2020 Jul;11(4):NP37-NP40. doi: 10.1177/2150135117697314. Epub 2017 Jul 4.
Takotsubo cardiomyopathy describes a sudden onset cardiomyopathy with acute impairment of left ventricular function and spontaneous resolution over time. Only a few cases of Takotsubo cardiomyopathy in childhood have been described. We report the case of a 12-year-old girl with repaired tetralogy of Fallot who experienced acute onset of left ventricular dysfunction without coronary arterial involvement, suggesting Takotsubo cardiomyopathy, during an interventional catheterization procedure. Cardiogenic shock necessitated mechanical circulatory support with extracorporeal membrane oxygenator for ten days and mechanical ventilation for 12 days. The girl recovered without sequelae. Percutaneous pulmonary valve implantation was performed four months later without complications. Unusual aspects of this case include the use of mechanical circulatory support during the recovery phase of Takotsubo cardiomyopathy in a patient with congenital heart disease.
心尖球形综合征描述了一种起病突然的心肌病，伴有左心室功能急性受损，随着时间的推移会自行恢复。只有少数儿童心尖球形综合征的病例被描述过。我们报告了一例 12 岁的女孩，她患有法洛四联症修补术后，在介入导管治疗过程中发生了无冠状动脉受累的左心室功能急性障碍，提示心尖球形综合征。心源性休克需要使用体外膜肺氧合机进行机械循环支持 10 天，并进行机械通气 12 天。女孩没有留下后遗症而康复。四个月后进行了经皮肺动脉瓣植入术，没有并发症。这个病例的不同寻常之处在于在患有先天性心脏病的患者的心尖球形综合征恢复阶段使用机械循环支持。
