Takotsubo syndrome followed with postoperative colon aneurysm: a case report
Pan, J.; Feng, K.; Chen, L.L.; Li, H.; Zhu, J.C.; He, Y.
Zhonghua Nei Ke Za Zhi 58(4): 307-309
2019
ISSN/ISBN: 0578-1426 PMID: 30917425 Document Number: 697824
Takotsubo综合征发病率低,急性期易与急性冠状动脉综合征混淆。本例患者因腹痛入院,检查提示腹腔大量积血、积液,手术中见升结肠动脉瘤破裂出血,行升结肠切除术和回肠造口术,术后心电图、肌钙蛋白呈现急性心肌梗死改变,病情稳定后行冠状动脉造影显示冠状动脉未见狭窄。实时三维超声心动图和左心室造影显示与Takotsubo一致的典型心尖部球样膨出及左心室反常运动,术后1个月复查实时三维超声心动图提示心脏形态及功能恢复,Takotsubo综合征诊断明确。.
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