Takotsubo's Syndrome After Mitral Valve Repair and Rescue With Extracorporeal Membrane Oxygenation

We report a case of Takotsubo's syndrome in a 37-year-old woman after mitral valve repair for severe mitral regurgitation triggered by a severe protamine reaction that was likely associated with immune-mediated coronary hypersensitivity (Kounis' syndrome) and made worse by resuscitation wi...

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Veröffentlicht in:	The Annals of thoracic surgery 2014-05, Vol.97 (5), p.1777-1778
Hauptverfasser:	Li, Stephanie, BS, Koerner, Michael M., MD, PhD, El-Banayosy, Aly, MD, Soleimani, Behzad, MD, Pae, Walter E., MD, Leuenberger, Urs A., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Adult Cardiopulmonary Resuscitation - methods Cardiothoracic Surgery Critical Illness Drug-Related Side Effects and Adverse Reactions - etiology Drug-Related Side Effects and Adverse Reactions - therapy Echocardiography, Doppler - methods Extracorporeal Membrane Oxygenation - methods Female Follow-Up Studies Heart Valve Prosthesis Implantation - adverse effects Heart Valve Prosthesis Implantation - methods Humans Mitral Valve Insufficiency - diagnostic imaging Mitral Valve Insufficiency - surgery Mitral Valve Prolapse - diagnostic imaging Mitral Valve Prolapse - surgery Postoperative Complications - physiopathology Postoperative Complications - therapy Protamines - administration & dosage Protamines - adverse effects Risk Assessment Severity of Illness Index Surgery Takotsubo Cardiomyopathy - etiology Takotsubo Cardiomyopathy - therapy Treatment Outcome
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Beschreibung
Zusammenfassung:	We report a case of Takotsubo's syndrome in a 37-year-old woman after mitral valve repair for severe mitral regurgitation triggered by a severe protamine reaction that was likely associated with immune-mediated coronary hypersensitivity (Kounis' syndrome) and made worse by resuscitation with high doses of catecholamines. The patient recovered fully after a 4-day course of extracorporeal membrane oxygenation therapy (ECMO).
ISSN:	0003-4975 1552-6259
DOI:	10.1016/j.athoracsur.2013.08.032