A rare case of takotsubo syndrome within the first day after heart transplantation

https://doi.org/10.4081/monaldi.2019.1149

Authors

  • Mohammed Al Humaid | alhumid1428@hotmail.com Cardiology Center, King Saud Medical City, Riyadh, Saudi Arabia.
  • Mawada Ahmed Heart Centre Department, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
  • Domenico Galzerano College of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
  • Mosaad Al Hussein Heart Centre Department, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
  • Mohammed Al Admawi Heart Centre Department, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
  • Jehad Al Buraiki Heart Centre Department, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
  • Hani Alsergani Heart Centre Department, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.
  • Olga Vriz Heart Centre Department, King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia.

Abstract

A 39-year-old woman underwent heart transplantation (HTx) for advanced heart failure. The donor was a 36-year-old young woman without past medical history. The first day after HTx, T-waves changes were noted. Echocardiography revealed akinesia/dyskinesia of all basal segments of the two ventricles. Coronary catheterization plus biopsy were done 7 days later showing no coronary obstruction, no rejection and complete recovery of wall motion abnormalities on echocardiogram, suggesting biventricular inverted takotsubo syndrome (TTS). This is a case of TTS during the first day after HTx, with completely denervated heart but because of the inotropic drug support it still represents a target for catecholamine-induced cardiac dysfunction.

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Published
2019-10-07
Info
Issue
Section
Cardiology - Case Reports
Keywords:
Heart transplant, takotsubo, cardiomyopathy
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  • PDF: 416
How to Cite
Al Humaid, Mohammed, Mawada Ahmed, Domenico Galzerano, Mosaad Al Hussein, Mohammed Al Admawi, Jehad Al Buraiki, Hani Alsergani, and Olga Vriz. 2019. “A Rare Case of Takotsubo Syndrome Within the First Day After Heart Transplantation”. Monaldi Archives for Chest Disease 89 (3). https://doi.org/10.4081/monaldi.2019.1149.

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