Cardiac Transplantation following Cobalt Cardiomyopathy from Bilateral Metal-on-Metal Hip Replacements.
Journal
Case reports in anesthesiology
ISSN: 2090-6382
Titre abrégé: Case Rep Anesthesiol
Pays: United States
ID NLM: 101581025
Informations de publication
Date de publication:
2022
2022
Historique:
received:
10
12
2021
revised:
13
05
2022
accepted:
27
05
2022
entrez:
20
6
2022
pubmed:
21
6
2022
medline:
21
6
2022
Statut:
epublish
Résumé
A fifty-two-year-old man underwent heart transplantation at our centre after four years of developing progressive heart failure symptoms due to cobalt toxicity-related cardiomyopathy. Between the ages of forty and forty-two, he underwent bilateral metal-on-metal hip arthroplasties for early onset osteoarthritis. Six years later, he developed increasing fatigue and pericardial effusions. Following a prolonged period of deterioration without a clear cause, the diagnosis of cobalt toxicity-related cardiomyopathy due to cobalt-chromium alloy hip prostheses was eventually made. He underwent bilateral revision hip arthroplasties and was listed for heart transplantation. Metal-on-metal joint replacement is a rare cause of iatrogenic cobalt toxicity. Anaesthetists may encounter patients with unexplained symptoms of heart failure, having a high index of suspicion presenting an opportunity for early diagnosis and intervention before end-stage disease develops.
Identifiants
pubmed: 35721672
doi: 10.1155/2022/3373363
pmc: PMC9200583
doi:
Types de publication
Case Reports
Langues
eng
Pagination
3373363Informations de copyright
Copyright © 2022 Peter Szedlak et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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