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Cardiac Transplantation following Cobalt Cardiomyopathy from Bilateral Metal-on-Metal Hip Replacements
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 os...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9200583/ https://www.ncbi.nlm.nih.gov/pubmed/35721672 http://dx.doi.org/10.1155/2022/3373363 |
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author | Szedlak, Peter Virdi, Amrik Cacciottolo, Paul Shepherd, Stephen Pettit, Stephen Falter, Florian |
author_facet | Szedlak, Peter Virdi, Amrik Cacciottolo, Paul Shepherd, Stephen Pettit, Stephen Falter, Florian |
author_sort | Szedlak, Peter |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-9200583 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-92005832022-06-16 Cardiac Transplantation following Cobalt Cardiomyopathy from Bilateral Metal-on-Metal Hip Replacements Szedlak, Peter Virdi, Amrik Cacciottolo, Paul Shepherd, Stephen Pettit, Stephen Falter, Florian Case Rep Anesthesiol Case Report 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. Hindawi 2022-06-08 /pmc/articles/PMC9200583/ /pubmed/35721672 http://dx.doi.org/10.1155/2022/3373363 Text en Copyright © 2022 Peter Szedlak et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Szedlak, Peter Virdi, Amrik Cacciottolo, Paul Shepherd, Stephen Pettit, Stephen Falter, Florian Cardiac Transplantation following Cobalt Cardiomyopathy from Bilateral Metal-on-Metal Hip Replacements |
title | Cardiac Transplantation following Cobalt Cardiomyopathy from Bilateral Metal-on-Metal Hip Replacements |
title_full | Cardiac Transplantation following Cobalt Cardiomyopathy from Bilateral Metal-on-Metal Hip Replacements |
title_fullStr | Cardiac Transplantation following Cobalt Cardiomyopathy from Bilateral Metal-on-Metal Hip Replacements |
title_full_unstemmed | Cardiac Transplantation following Cobalt Cardiomyopathy from Bilateral Metal-on-Metal Hip Replacements |
title_short | Cardiac Transplantation following Cobalt Cardiomyopathy from Bilateral Metal-on-Metal Hip Replacements |
title_sort | cardiac transplantation following cobalt cardiomyopathy from bilateral metal-on-metal hip replacements |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9200583/ https://www.ncbi.nlm.nih.gov/pubmed/35721672 http://dx.doi.org/10.1155/2022/3373363 |
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