Browse > Article
http://dx.doi.org/10.4070/kcj.2011.41.2.101

Takotsubo-Like Severe Left Ventricular Dysfunction After Cesarean Delivery in a 28-Year Old Woman  

Kim, Soo-Young (Cardiology Division, Department of Internal Medicine, Yonsei University College of Medicine)
Yoon, Ji-Hyun (Cardiology Division, Department of Internal Medicine, Yonsei University College of Medicine)
Lee, Sang-Hak (Cardiology Division, Department of Internal Medicine, Yonsei University College of Medicine)
Publication Information
Korean Circulation Journal / v.41, no.2, 2011 , pp. 101-104 More about this Journal
Abstract
Takotsubo cardiomyopathy typically affects post-menopausal women who experience severe psychological or physical stress. It can also develop after medical procedures or surgery. Although the underlying mechanism has not been clearly elucidated, catecholamine overload is one of the most plausible etiologies. Herein we report a case of takotsubo-like left ventricular (LV) dysfunction in a 28-year old woman who underwent Cesarean delivery. She presented with acute heart failure and pulmonary edema immediately after the delivery. Her echocardiography showed severe LV dysfunction and apical ballooning. This case is clinically and pathophysiologically similar to peripartum cardiomyopathy.
Keywords
Postpartum period; Takotsubo cardiomyopathy; Cesarean section; Heart failure;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
Times Cited By SCOPUS : 1
연도 인용수 순위
1 Kawai S, Kitabatake A, Tomoike H. Guidelines for diagnosis of takotsubo (ampulla) cardiomyopathy. Circ J 2007;71:990-2.   DOI   ScienceOn
2 Prasad A, Lerman A, Rihal CS. Apical ballooning syndrome (Tako-Tsu-bo or stress cardiomyopathy): a mimic of acute myocardial infarction. Am Heart J 2008;155:408-17.   DOI   ScienceOn
3 Sharkey SW, Lesser JR, Zenovich AG, et al. Acute and reversible cardiomyopathy provoked by stress in women from the United States. Circulation 2005;111:472-9.   DOI   ScienceOn
4 Tsuchihashi K, Ueshima K, Uchida T, et al. Transient left ventricular apical ballooning without coronary artery stenosis: a novel heart syndrome mimicking acute myocardial infarction. Angina Pectoris-Myocardial Infarction Investigations in Japan. J Am Coll Cardiol 2001; 38:11-8.   DOI   ScienceOn
5 Lee HH, Gwon HC, Kim BJ, et al. Clinical manifestation of novel st-ress-induced cardiomyopathy mimicking acute myocardial infarction: single center prospective registry. Korean Circ J 2002;32:1054-63.
6 Wittstein IS, Thiemann DR, Lima JA, et al. Neurohumoral features of myocardial stunning due to sudden emotional stress. N Engl J Med 2005;352:539-48.   DOI   ScienceOn
7 Demakis JG, Rahimtoola SH. Peripartum cardiomyopathy. Circulation 1971;44:964-8.   DOI   ScienceOn
8 Crimi E, Baggish A, Leffert L, Pian-Smith M, Januzzi J, Jian Y. Acute reversible stress-induced cardiomyopathy with cesarean delivery under spinal anesthesia. Circulation 2008;117:3052-3.   DOI   ScienceOn
9 Jabaudon M, Bonnin M, Bolandard F, Chanseaume S, Dauphin C, Bazin JE. Takotsubo syndrome during induction of general anesthesia. Anesthesia 2007;62:519-23.   DOI   ScienceOn
10 Littlejohn FC, Syed O, Ornstein E, Connolly ES, Heyer EJ. Takotsubo cardiomyopathy associated with anesthesia: three case reports. Cases J 2008;1:227.   DOI   ScienceOn