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...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2022/3373363 |
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| author | Peter Szedlak Amrik Virdi Paul Cacciottolo Stephen Shepherd Stephen Pettit Florian Falter |
| author_facet | Peter Szedlak Amrik Virdi Paul Cacciottolo Stephen Shepherd Stephen Pettit Florian Falter |
| author_sort | Peter Szedlak |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-233bbeb175824d4c97c8b6096252535e |
| institution | Kabale University |
| issn | 2090-6390 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-233bbeb175824d4c97c8b6096252535e2025-02-03T01:19:58ZengWileyCase Reports in Anesthesiology2090-63902022-01-01202210.1155/2022/3373363Cardiac Transplantation following Cobalt Cardiomyopathy from Bilateral Metal-on-Metal Hip ReplacementsPeter Szedlak0Amrik Virdi1Paul Cacciottolo2Stephen Shepherd3Stephen Pettit4Florian Falter5Royal Papworth Hospital NHS Foundation TrustNorth West Anglia NHS Foundation TrustRoyal Papworth Hospital NHS Foundation TrustBarts Health NHS TrustRoyal Papworth Hospital NHS Foundation TrustRoyal Papworth Hospital NHS Foundation TrustA 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.http://dx.doi.org/10.1155/2022/3373363 |
| spellingShingle | Peter Szedlak Amrik Virdi Paul Cacciottolo Stephen Shepherd Stephen Pettit Florian Falter Cardiac Transplantation following Cobalt Cardiomyopathy from Bilateral Metal-on-Metal Hip Replacements Case Reports in Anesthesiology |
| 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 |
| url | http://dx.doi.org/10.1155/2022/3373363 |
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