Sema TURAN, Mahmut SUBAŞI, Omaç TÜFEKÇİOĞLU, Sinan TÜRKKAN, Erdal YEKELER, Alkın YAZICIOĞLU

Akciğer nakli sonrası evre 3 primer greft disfonksiyonunun nadir bir nedeni: Takotsubo kardiyomiyopatisi

Takotsubo kardiyomiyopatisi akut, geçici bir kardiyak sendrom olup dinamik elektrokardiyografi değişikliklerinin ayırıcı tanısında önemlidir. Literatürde, akciğer nakli ile ilişkili Takotsubo kardiyomiyopatisi oldukça nadir olup sadece iki olgu sunumu bulunmaktadır. Olgumuz akciğer nakli sonrası erken dönemde ortaya çıkan ilk Takotsubo kardiyomiyopatisi olgusudur. Bu yazıda, kronik obstrüktif akciğer hastalığı nedeniyle çift taraflı, ardışık akciğer nakli uygulanan 61 yaşında bir erkek hasta sunuldu. Takipte Takotsubo kardiyomiyopatisi tanısı konuldu, kardiyomiyopati ile ilişkili primer greft disfonksiyonu gözlendi ve ekstrakorporeal membran oksijenasyonuna gereksinim duyuldu.

An uncommon cause for grade 3 primary graft dysfunction after lung transplantation: Takotsubo cardiomyopathy

Takotusubo cardiomyopathy is an acute, temporary cardiac syndrome which is important for the differential diagnosis of dynamic electrocardiography alterations. Takotsubo cardiomyopathy related to lung transplantation is rather rare in the literature with only two case reports. Our case is the first Takotsubo cardiomyopathy case that manifested in the early period after lung transplantation. In this article, we present a 61-year-old male patient who was performed bilateral sequential lung transplantation for chronic obstructive pulmonary disease. During follow-up, Takotsubo cardiomyopathy was diagnosed, primary graft dysfunction related to cardiomyopathy was observed, and extracorporeal membrane oxygenation was required.

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