TITLE

Takotsubo Cardiomyopathy After Transcatheter Edwards Sapien Pulmonary Valve Placement in a Patient With Tetralogy of Fallot

AUTHOR(S)
Aregullin, Enrique Oliver; Garg, Ruchira; Berman, Darren
PUB. DATE
December 2013
SOURCE
Pediatric Cardiology;Dec2013, Vol. 34 Issue 8, p1972
SOURCE TYPE
Academic Journal
DOC. TYPE
Case Study
ABSTRACT
A 34-year-old woman who had history of repaired tetralogy of Fallot with absent pulmonary valve syndrome presented for transcatheter intervention to reestablish pulmonary valve competence. A 26-mm Edwards Sapien valve was implanted, and coronary angiography after implantation demonstrated no coronary compression. Hemodynamically stable ventricular tachycardia was documented after the procedure. A 12-lead electrocardiogram showed ST segment elevation, and cardiac enzymes were moderately elevated. An echocardiogram demonstrated the stable position of the new pulmonary valve, the marked circumferential hypokinesia of the mid-to-apical left ventricular myocardium, and the normally contracting basal-to-mid myocardial segments. No intervention was required. An echocardiogram obtained 4 days after discharge showed qualitatively improved left ventricular systolic function, particularly in the apical region.
ACCESSION #
91907625

 

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