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Review
. 2014 May;97(5):1777-8.
doi: 10.1016/j.athoracsur.2013.08.032.

Takotsubo's syndrome after mitral valve repair and rescue with extracorporeal membrane oxygenation

Stephanie Li  1 , Michael M Koerner  1 , Aly El-Banayosy  1 , Behzad Soleimani  1 , Walter E Pae  1 , Urs A Leuenberger  2
Affiliations
Review

Takotsubo's syndrome after mitral valve repair and rescue with extracorporeal membrane oxygenation

Stephanie Li et al. Ann Thorac Surg. 2014 May.

Abstract

We report a case of Takotsubo's syndrome in a 37-year-old woman after mitral valve repair for severe mitral regurgitation triggered by a severe protamine reaction that was likely associated with immune-mediated coronary hypersensitivity (Kounis' syndrome) and made worse by resuscitation with high doses of catecholamines. The patient recovered fully after a 4-day course of extracorporeal membrane oxygenation therapy (ECMO).

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