title: Takotsubo cardiomyopathy after elective mitral valve replacement.
abstract: Takotsubo cardiomyopathy is a syndrome characterized by transient acute left ventricular dysfunction, electrocardiographic changes that can mimic acute myocardial infarction and minimal release of myocardial enzymes in the absence of obstructive coronary artery disease. Reports of Takotsubo syndrome after cardiac surgery are exceptional. We describe a case of Takotsubo cardiomyopathy in a 68-year-old woman after elective mitral valve replacement. Takotsubo syndrome should be considered in the differential diagnosis of patients presenting cardiogenic shock after cardiac surgery.
authors.affiliation: Department of Cardiac Surgery, Salamanca University Hospital, Paseo de San Vicente 58-182, 37007 Salamanca, Spain. blazquezmd@hotmail.com
authors.forename: José Antonio
authors.initials: JA
authors.lastname: Blázquez
authors.forename: José María
authors.initials: JM
authors.lastname: González
authors.forename: María José
authors.initials: MJ
authors.lastname: Dalmau
authors.forename: Javier
authors.initials: J
authors.lastname: López
mesh_terms: D000368:Aged; D002316:Cardiotonic Agents / Q000627:therapeutic use; D017548:Echocardiography, Transesophageal; D017558:Elective Surgical Procedures; D005260:Female; D005440:Fluid Therapy; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects*; D006439:Hemodynamics; D006801:Humans; D007423:Intra-Aortic Balloon Pumping; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000601:surgery*; D008946:Mitral Valve Stenosis / Q000601:surgery*; D012770:Shock, Cardiogenic / Q000209:etiology; D054549:Takotsubo Cardiomyopathy / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D016896:Treatment Outcome; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging / Q000209:etiology* / Q000503:physiopathology / Q000628:therapy; D016277:Ventricular Function, Left
chemical_list: D002316:Cardiotonic Agents