Abstract

FERNANDEZ MERJILDO, Diana; RIOS ORTEGA, Josías  and  LESCANO ALVA, Miguel. Cardiogenic shock due Takotsubo cardiomyopathy following mitral valve replacement: Case report. Rev Med Hered [online]. 2016, vol.27, n.1, pp.41-45. ISSN 1018-130X.

A case of a 44 year old woman who presented during the immediate post operative period of a mitral valve replacement with sudden elevation of the ST segment in the V4-6 derivations of an electrocardiogram, elevation of cardiac enzymes and reduced left vetricualr contractility with LVEF of 24% rising the suspicion of and cute myocardial infarction in presented. A cardiac catheterisation did not reveal lesions on the coronary arteries, findins sugegstive of Takotsubo cardiomyocardioapthy. The patient developed cardiogenic shock needing high inotropic doses including the use of levosimendan and intra-aortic balloon pump. The clinical response was favorable, 6 days later the LVEF was 60%.

Keywords : Cardiogenic shock; Takotsubo cardiomyopathy; mitral valve annuloplast.

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