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Ann Thorac Surg 2008;85:1439-1441. doi:10.1016/j.athoracsur.2007.10.003
© 2008 The Society of Thoracic Surgeons
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Alexander Kogan
Probal Ghosh
Ehud Raanani
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Case Reports

Takotsubo Syndrome After Cardiac Surgery

Alexander Kogan, MDa,*, Probal Ghosh, FRCS, FACCa, Ehud Schwammenthal, MD, FACCb, Ehud Raanani, MDa,c

a Department of Cardiothoracic Surgery, Sheba Medical Center, Tel Hashomer, Israel
b Cardiac Rehabilitation Institute, Sheba Medical Center, Tel Hashomer, Israel
c Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Accepted for publication October 1, 2007.

* Address correspondence to Dr Kogan, Department of Cardiothoracic Surgery, Sheba Medical Center, Tel Hashomer, 52621; Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, 69978, Israel (Email: alexander.kogan{at}sheba.gov.il).

We have not found any reports to date of Takotsubo syndrome after cardiac surgery. Recently described Takotsubo syndrome is characterized by acute reversible left ventricular dysfunction with apical ballooning in the absence of coronary artery disease, and with chest pain and electrocardiographic changes mimicking acute anterior myocardial infarction, but with minimal release of myocardial enzymes. We describe Takotsubo syndrome that developed after elective mitral valve replacement and tricuspid annuloplasty in a 62-year-old woman. On supportive therapy with vasopressors, left ventricular function gradually improved with an ejection fraction returning to 50%. Takotsubo cardiomyopathy should be considered as a possible complication of the cardiac surgery.




This article has been cited by other articles:


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 Eur. J. Cardiothorac. Surg.Home page
P. K. Ghosh, A. Kogan, and E. Raanani
Mitral valve replacement and Takotsubo syndrome.
Eur. J. Cardiothorac. Surg., August 1, 2008; 34(2): 466 - 466.
[Full Text] [PDF]

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 Eur. J. Cardiothorac. Surg.Home page
C. Rao and T. Athanasiou
Reply to ghosh et Al.
Eur. J. Cardiothorac. Surg., August 1, 2008; 34(2): 467 - 467.
[Full Text] [PDF]


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