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Cardiac Transplantation following Cobalt Cardiomyopathy from Bilateral Metal-on-Metal Hip Replacements
- Source :
- Case Reports in Anesthesiology, Vol 2022 (2022)
- Publication Year :
- 2022
- Publisher :
- Wiley, 2022.
-
Abstract
- 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.
- Subjects :
- Anesthesiology
RD78.3-87.3
Subjects
Details
- Language :
- English
- ISSN :
- 20906390
- Volume :
- 2022
- Database :
- Directory of Open Access Journals
- Journal :
- Case Reports in Anesthesiology
- Publication Type :
- Academic Journal
- Accession number :
- edsdoj.233bbeb175824d4c97c8b6096252535e
- Document Type :
- article
- Full Text :
- https://doi.org/10.1155/2022/3373363