• J Clin Anesth · Feb 2018

    Letter Case Reports

    Takotsubo cardiomyopathy complicating thoracoabdominal aortic aneurysm repair.

    • Mohamed Abdalla, Mohamed Abdel Halim, Vaibhav Bora, and Negmeldeen F Mamoun.
    • Cardiothoracic Anesthesiology Department, Cleveland Clinic, Cleveland, OH, United States. Electronic address: abdallm@ccf.org.
    • J Clin Anesth. 2018 Feb 1; 44: 78-79.

    AbstractWe 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.Copyright © 2017 Elsevier Inc. All rights reserved.

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