Abstract:
Takotsubo cardiomyopathy (TC) is a rare disease with unclear etiology that is characterized by wall motion abnormalities of the left ventricle. We report a 64-year-old woman who presented with cardiac arrest 6 hours after ureteral stenting, with no history of heart disease. Notably, she had a urinary tract infection preoperatively. TC was diagnosed with characteristic apical ballooning on the left ventriculogram. The hemodynamics and cardiac function recovered quickly within 1 day after conservative treatment and controlling the infection. TC should be considered when a patient presents with decreased cardiac function after ureteral stenting, especially in patients with potential concurrent infection. A review of the literature documenting cases of TC related to urological surgery in the past decade was conducted using PubMed. The results were summarized in a table.
摘要:
Takotsubo心肌病(TC)是一种病因不明的罕见疾病,其特征是左心室壁运动异常。我们报告了一名64岁的女性,在输尿管支架置入术后6小时出现心脏骤停,没有心脏病史.值得注意的是,她术前有尿路感染。TC在左心室图中被诊断为特征性心尖部球囊扩张。在保守治疗和控制感染后1天内血流动力学和心功能迅速恢复。当患者在输尿管支架置入术后出现心功能下降时,应考虑TC。尤其是潜在并发感染的患者。使用PubMed对过去十年中记录与泌尿外科手术有关的TC病例的文献进行了回顾。结果总结在表中。