Acute heart failure after Caesaerean section: peri-partum or tako-tsubo cardiomiopathy?

Rodolfo Citro, Roberta Giudice, Marco Mirra, Rosa Paolillo, Chiara Paolillo, Cesare Baldi, Eduardo Bossone



A young woman undergoes Caesarean section at the 39th week of pregnancy: shortly after she develops acute cardiorespiratory failure. The electrocardiography shows sinus tachycardia and right bundle branch block. The ventriculography confirms the decrease of the pump function and the mid-ventricular ballooning of the left ventricle; the differential diagnosis is between peri-partum cardiomyopathy and stress induced tako-tsubo cardiomyopathy: the sudden onset, the results of the ventriculography and the complete recovery after 11 days of treatment for acute heart failure led the diagnosis towards tako-tsubo cardiomyopathy.


Tako-tsubo syndrome; Stress-induced cardiomyopathy; Peri-partum cardiomyopathy; Acute heart failure

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