Totaro Pasquale, Triolo Oreste F, Argano Vincenzo
Cardiothoracic Surgery, IRCCS Foundation Hospital "San Matteo", Pavia, Italy.
Cardiac Surgery, University Hospital "P.Giaccone", Palermo, Italy.
J Card Surg. 2020 Mar;35(3):721-724. doi: 10.1111/jocs.14453. Epub 2020 Feb 6.
Takotsubo syndrome has been widely recognized as a stress cardiomyopathy and only recently has been also reported following cardiac surgery.
We present a case of takotsubo syndrome two days following a mitral valve replacement with a mechanical prosthesis.
A 64-year-old female patient underwent mitral valve replacement with a mechanical prosthesis. Two days later she presented clinical symptoms and diagnostic evidence supporting the diagnosis of takotsubo syndrome.
Patient underwent full left ventricle function recovery and was discharged home on 10th postoperative days.
The peculiar aspect of this case consist of the early postoperative transthoracic echocardiography, which showed, clearly, an optimal left ventricle function the day before sudden onset of the symptoms, thus allowing for a clear differential diagnosis with other potential causes of postoperative left ventricle failure.
This case confirms that takotsubo syndrome has to be carefully considered in differential diagnosis in case of acute left ventricle dysfunction following cardiac surgery.
应激性心肌病已被广泛认为是一种应激性心肌病，且直到最近才有心脏手术后发生的报道。
我们报告一例二尖瓣置换并植入机械瓣膜两天后发生应激性心肌病的病例。
一名64岁女性患者接受了二尖瓣置换并植入机械瓣膜。两天后，她出现了支持应激性心肌病诊断的临床症状和诊断证据。
患者左心室功能完全恢复，并于术后第10天出院。
该病例的特殊之处在于术后早期经胸超声心动图检查，其显示在症状突然出现的前一天左心室功能明显正常，从而能够与术后左心室功能衰竭的其他潜在原因进行明确的鉴别诊断。
该病例证实，心脏手术后发生急性左心室功能障碍时，在鉴别诊断中必须仔细考虑应激性心肌病。
