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Extracorporeal membrane oxygenation for takotsubo cardiomyopathy that developed after mitral valve replacement

机译：二尖瓣置换后开发的Takotsubo心肌病的体外膜氧合

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Takotsubo cardiomyopathy is a transient systolic and diastolic left ventricular dysfunction that presents several wall-motion abnormalities, while the coronary artery shows normal findings. Because patients with Takotsubo cardiomyopathy present with symptoms similar to acute coronary syndrome, the initial diagnosis and treatment are often difficult. The condition is often precipitated by acute emotional or physical stress and frequently occurs in postmenopausal women. Takotsubo cardiomyopathy may also occur in the perioperative period after cardiac and noncardiac surgery; surgery-associated Takotsubo cardiomyopathy reportedly accounts for 3%-23% of all cases. Of these perioperative cases, cardiothoracic surgery accounted for 16%. However, few cases have been reported in patients undergoing cardiac surgery and managed with extracorporeal membrane oxygenation (ECMO). We report a case of Takotsubo cardiomyopathy managed with ECMO in a patient in the intensive care unit after mitral valve replacement.
机译：Takotsubo心肌病是一种瞬态的收缩和舒张左心室功能障碍，呈现了几个壁运动异常，而冠状动脉显示正常结果。由于Takotsubo心肌病的患者存在与症状类似于急性冠状动脉综合征，初步诊断和治疗往往是困难的。该病症通常是急性情绪或身体压力沉淀，并且经常发生在绝经后妇女。 Takotsubo心肌病也可能发生在心脏和非心脏手术后的围手术期间;据报道，手术相关的Takotsubo心肌病占所有病例的3％-23％。在这些围手术期的情况下，心脏病症手术占16％。然而，在接受心脏手术的患者中报道了很少的病例，并用体外膜氧合（ECMO）进行管理。我们举报了二尖瓣更换后，在重症监护单元中的患者中使用Ecmo管理的Takotsubo心肌病的情况。

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