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肝移植期间的应激(应激性心肌病):病例研究与文献综述

Stress (Takotsubo) Cardiomyopathy During Liver Transplantation: Case Study and Literature Review.

作者信息

Vitin A A, Pennington M W, Bowdle T A, Rayhill S C, Sibulesky L, Reyes J D, McCabe J M

机构信息

Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, Washington.

Department of Anesthesiology & Pain Medicine, University of Washington, Seattle, Washington.

出版信息

Transplant Proc. 2018 Jan-Feb;50(1):211-216. doi: 10.1016/j.transproceed.2017.11.017.

Abstract

A case of stress (takotsubo) cardiomyopathy (TC) that occurred intraoperatively during liver transplantation surgery was identified by transesophageal echocardiography. Only a few cases of TC occurring during liver transplantation have been reported to date. Unlike other cases reported, TC occurred during the anhepatic stage of the liver transplantation, with subsequent complete recovery. Notwithstanding the large number of cases of TC in the perioperative settings reported worldwide, the exact reasons of this syndrome occurring intraoperatively as well as precipitating factors and conditions remain mostly unknown.

摘要

通过经食管超声心动图确诊了一例在肝移植手术过程中发生的应激性(章鱼壶型)心肌病(TC)。迄今为止,仅报道了少数几例肝移植期间发生的TC病例。与其他报道的病例不同,该例TC发生在肝移植的无肝期,随后完全康复。尽管全球报道了围手术期发生大量TC病例,但该综合征在术中发生的确切原因以及诱发因素和条件大多仍不清楚。

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