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The implications of these results in the context of the new UNOS "safety net" kidney transplant policy require further study. © 2020 John Wiley Sons A/S. Published by John Wiley Sons Ltd.BACKGROUND Takotsubo syndrome has been widely recognized as a stress cardiomyopathy and only recently has been also reported following cardiac surgery. AIMS We present a case of takotsubo syndrome two days following a mitral valve replacement with a mechanical prosthesis. MATERIALS AND METHODS A 64-year-old female patient underwent mitral va