Stress-Induced Takotsubo Cardiomyopathy After Transjugular Intrahepatic Portosystemic Shunt

ABSTRACT This report presents the first known documented case of Takotsubo cardiomyopathy, characterized by transient left ventricular systolic dysfunction after a transjugular intrahepatic portosystemic shunt procedure. A 59-year-old woman with decompensated cirrhosis underwent transjugular intrahepatic portosystemic shunt procedure with subsequent new-onset heart failure without previous diagnostic evidence of underlying cardiovascular disease, including cirrhotic cardiomyopathy. After 2 weeks of medical management with β-blockade and diuretics, the patient had recovery of a left ventricular ejection fraction.

摘要：本报告介绍了首例已知有文献记载的Takotsubo心肌病病例，其特征是在经颈静脉肝内门体分流术之后出现短暂的左心室收缩功能障碍。一名59岁患有失代偿性肝硬化的女性接受了经颈静脉肝内门体分流术，随后出现新发心力衰竭，此前并无包括肝硬化性心肌病在内的潜在心血管疾病的诊断依据。经过2周使用β受体阻滞剂和利尿剂的药物治疗后，患者的左心室射血分数恢复。