Takotsubo cardiomyopathy complicating thoracoabdominal aortic aneurysm repair

Mohamed Abdalla, Mohamed Abdel Halim, Vaibhav Bora, Negmeldeen F. Mamoun

Research output: Contribution to journalLetter

Abstract

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.

Original languageEnglish (US)
Pages (from-to)78-79
Number of pages2
JournalJournal of Clinical Anesthesia
Volume44
DOIs
StatePublished - Jan 2018

Fingerprint

Takotsubo Cardiomyopathy
Thoracic Aortic Aneurysm
Catecholamines
Acute Coronary Syndrome
Coronary Angiography
Psychological Stress
Nervous System
Echocardiography
Spinal Cord
Morbidity
Mortality
Wounds and Injuries

Keywords

  • Stress-induced cardiomyopathy
  • Takotsubo cardiomyopathy
  • Thoracoabdominal aortic aneurysm repair

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Takotsubo cardiomyopathy complicating thoracoabdominal aortic aneurysm repair. / Abdalla, Mohamed; Abdel Halim, Mohamed; Bora, Vaibhav; Mamoun, Negmeldeen F.

In: Journal of Clinical Anesthesia, Vol. 44, 01.2018, p. 78-79.

Research output: Contribution to journalLetter

Abdalla, Mohamed ; Abdel Halim, Mohamed ; Bora, Vaibhav ; Mamoun, Negmeldeen F. / Takotsubo cardiomyopathy complicating thoracoabdominal aortic aneurysm repair. In: Journal of Clinical Anesthesia. 2018 ; Vol. 44. pp. 78-79.
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