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

  • 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
Statistics
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  • PDF: 320
How to Cite
Al Humaid, M., Ahmed, M., Galzerano, D., Al Hussein, M., Al Admawi, M., Al Buraiki, J., Alsergani, H., & Vriz, O. (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