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肺移植术后3级原发性移植物功能障碍的罕见原因:应激性心肌病。

An uncommon cause for grade 3 primary graft dysfunction after lung transplantation: Takotsubo cardiomyopathy.

作者信息

Yazıcıoğlu Alkın, Subaşı Mahmut, Türkkan Sinan, Turan Sema, Tüfekçioğlu Omaç, Yekeler Erdal

机构信息

Department of Thoracic Surgery and Lung Transplantation, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey.

Department of Intensive Care, Türkiye Yüksek İhtisas Training and Research Hospital, Ankara, Turkey.

出版信息

Turk Gogus Kalp Damar Cerrahisi Derg. 2018 Jul 3;26(3):487-491. doi: 10.5606/tgkdc.dergisi.2018.14905. eCollection 2018 Jul.

Abstract

Takotusubo cardiomyopathy is an acute, temporary cardiac syndrome which is important for the differential diagnosis of dynamic electrocardiography alterations. Takotsubo cardiomyopathy related to lung transplantation is rather rare in the literature with only two case reports. Our case is the first Takotsubo cardiomyopathy case that manifested in the early period after lung transplantation. In this article, we present a 61-yearold male patient who was performed bilateral sequential lung transplantation for chronic obstructive pulmonary disease. During follow-up, Takotsubo cardiomyopathy was diagnosed, primary graft dysfunction related to cardiomyopathy was observed, and extracorporeal membrane oxygenation was required.

摘要

应激性心肌病是一种急性、暂时性心脏综合征,对于动态心电图改变的鉴别诊断具有重要意义。与肺移植相关的应激性心肌病在文献中相当罕见,仅有两篇病例报告。我们的病例是肺移植术后早期出现的首例应激性心肌病病例。在本文中,我们介绍了一名61岁男性患者,该患者因慢性阻塞性肺疾病接受了双侧序贯肺移植。在随访期间,诊断出应激性心肌病,观察到与心肌病相关的原发性移植功能障碍,并且需要进行体外膜肺氧合。

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Takotsubo Cardiomyopathy Occurring in the Postoperative Period.围手术期发生的应激性心肌病
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本文引用的文献

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Stress Cardiomyopathy in the Setting of COPD Exacerbation.慢性阻塞性肺疾病急性加重期并发应激性心肌病
J Investig Med High Impact Case Rep. 2015 Oct 14;3(4):2324709615612847. doi: 10.1177/2324709615612847. eCollection 2015 Oct-Dec.
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Epidemiology and pathophysiology of Takotsubo syndrome.Takotsubo 综合征的流行病学和病理生理学。
Nat Rev Cardiol. 2015 Jul;12(7):387-97. doi: 10.1038/nrcardio.2015.39. Epub 2015 Apr 7.

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