Takotsubo cardiomyopathy in a young adult with transplanted heart: what happened to denervation?

被引:16
作者
Chinali, Marcello [1 ]
Formigari, Roberto [2 ]
Grutter, Giorgia [3 ]
机构
[1] Bambino Gesu Children Hosp IRCSS, Dept Pediat Cardiol & Cardiac Surg, Div Pediat Cardiol & Arrhythmol, Echocardiog Lab, Piazza St Onofrio 4, Rome, Italy
[2] Bambino Gesu Children Hosp IRCSS, Dept Pediat Cardiol & Cardiac Surg, Div Cardiac Hemodynam, Rome, Italy
[3] Bambino Gesu Children Hosp IRCSS, Dept Pediat Cardiol & Cardiac Surg, Heart & Lung Transplant & Pulm Hypertens Unit, Rome, Italy
关键词
Stress-induced cardiomyopathy; Echocardiography; Coronary angiography; Transient dysfunction;
D O I
10.1002/ehf2.12242
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This manuscript describes the first report of takotsubo cardiomyopathy in a young heart transplant recipient following angry debate. Our patient is a 21-year-old woman with cardiac transplant performed owing to right ventricular failure in congenital heart disease. Positive echocardiography with typical asymmetry of regional function, positive enzymes, and negative biopsy and angiography met the criteria for the diagnosis of takotsubo cardiomyopathy. Patient was discharged after 1week in good clinical conditions and fully recovered cardiac function. The development of takotsubo cardiomyopathy in transplanted heart suggests that re-innervation occurs, thus representing a target for catecholamine-induced cardiac dysfunction.
引用
收藏
页码:197 / 200
页数:4
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