TY - JOUR
T1 - Takotsubo cardiomyopathy complicating thoracoabdominal aortic aneurysm repair
AU - Abdalla, Mohamed
AU - Abdel Halim, Mohamed
AU - Bora, Vaibhav
AU - Mamoun, Negmeldeen F.
N1 - Publisher Copyright:
© 2017 Elsevier Inc.
PY - 2018/1
Y1 - 2018/1
N2 - We describe the management of a patient with symptomatic spinal cord hypoperfusion after thoracoabdominal aortic aneurysm repair, where the neurological insult and associated emotional stress precipitated Takotsubo cardiomyopathy. Transthoracic Echocardiography showed akinetic mid and apical left ventricular segments, while basal segments were spared. Emergent coronary angiography ruled out acute coronary syndrome. Excess catecholamines have been postulated as a contributing mechanism to the disease, therefore, catecholamines were avoided to prevent further myocardial injury. Takotsubo cardiomyopathy is associated with serious morbidity and mortality, which highlights the importance of early recognition and proper management for complete recovery of both cardiac and neurologic functions.
AB - We describe the management of a patient with symptomatic spinal cord hypoperfusion after thoracoabdominal aortic aneurysm repair, where the neurological insult and associated emotional stress precipitated Takotsubo cardiomyopathy. Transthoracic Echocardiography showed akinetic mid and apical left ventricular segments, while basal segments were spared. Emergent coronary angiography ruled out acute coronary syndrome. Excess catecholamines have been postulated as a contributing mechanism to the disease, therefore, catecholamines were avoided to prevent further myocardial injury. Takotsubo cardiomyopathy is associated with serious morbidity and mortality, which highlights the importance of early recognition and proper management for complete recovery of both cardiac and neurologic functions.
KW - Stress-induced cardiomyopathy
KW - Takotsubo cardiomyopathy
KW - Thoracoabdominal aortic aneurysm repair
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U2 - 10.1016/j.jclinane.2017.11.007
DO - 10.1016/j.jclinane.2017.11.007
M3 - Letter
C2 - 29161542
AN - SCOPUS:85034420375
SN - 0952-8180
VL - 44
SP - 78
EP - 79
JO - Journal of Clinical Anesthesia
JF - Journal of Clinical Anesthesia
ER -