Fulminant apical ballooning syndrome after replacement of a prosthetic aortic valve.
A 70-year-old woman was readmitted to our hospital with a fever of 39 degrees C on the 30th day after replacement of a prosthetic aortic valve. She required percutaneous cardiopulmonary support for her heart failure and was weaned after 7 days. Echocardiography revealed an akinetic and aneurysmally dilated left ventricular apex and hyperdynamic basal segments. This case indicates that fulminant apical ballooning syndrome might be added to the list of potential complications after cardiac surgery.
Ohata
Toshihiro
T
Department of Cardiovascular Surgery, KKR Sapporo Medical Center, Hiragishi 1-6, Toyohira-ku, Sapporo, Hokkaido, 062-0931, Japan. t-ohata@kkr-smc.com
Ueda
Hideki
H
Kamata
Sokichi
S
Sakagoshi
Nobuo
N
D000368:Aged; D001024:Aortic Valve Stenosis / Q000503:physiopathology / Q000601:surgery*; D020878:Device Removal; D004452:Echocardiography; D004562:Electrocardiography; D017809:Fatal Outcome; D005260:Female; D005334:Fever / Q000209:etiology; D006333:Heart Failure / Q000209:etiology; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects* / Q000295:instrumentation; D006439:Hemodynamics; D006801:Humans; D011475:Prosthesis Failure; D013902:Radiography, Thoracic; D012086:Reoperation; D054549:Takotsubo Cardiomyopathy / Q000175:diagnosis / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D016896:Treatment Outcome; D016277:Ventricular Function, Left