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עמוד בית
Sun, 26.05.24

CASE COMMUNICATIONS

IMAJ | volume 25

Journal 2, February 2023
pages: 154-155

Late Onset Takotsubo Following Surgery of Tricuspid Valve Fibroelastoma

1 Department of Cardiology, Galilee Medical Center, Nahariya, Israel 2 Azrieli Faculty of Medicine, Bar-Ilan University, Safed, Israel 3 Department of Cardiothoracic Surgery, Carmel Medical Center, Haifa, Israel

Summary

Takotsubo syndrome (TTS) often develops following stressors such as cardiac surgery. It may be fatal in rare cases. Our 70-year-old female patient presented with a rare case of tricuspid valve papillary fibroelastoma, which was complicated by fatal TTS after successful resection. The patient had a right atrial mass that was investigated with computed tomography and transesophageal echocardiography (TTE). She was scheduled for surgery. Pathology findings were consistent with papillary fibroelastoma of the tricuspid valve. Three weeks after successful surgery, the patient was admitted due to cardiogenic shock with echocardiographic findings of apical ballooning and left ventricular outflow tract obstruction consistent with TTS. The patient died one hour after her admission despite optimal medical therapy.

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