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Takotsubo cardiomyopathy – an unexpected complication in spine surgery

Introduction: Takotsubo cardiomyopathy is an apical ballooning syndrome, which can be triggeredby stress. Only few case reports describe the onset of Takotsubo as a complication of neurosurgery procedures. Clinical presentation: A case of a 53 year-old female with a spinal neurinoma and surgery-associated Takotsubo cardiomyopathy is demonstrated. The patient developed typical signs of a myocardial infarction with circulation depression and ST elevation, but normal cardiac enzymes at the end of surgery. Cardiac catheterization and levocardiography confirmed the absence of any critical coronary disease but the presence of a typical apical ballooning and midventricular hypokinesis. The patient recovered completely under supportive conservative and cardiological therapy, showing regular left ventricular pumpfunction. Conclusion: Interventions in neurosurgery and perioperative care should be kept as stress free as possible. Due to the possibility of neurogenic mechanisms related to cardiomyopathy, Takotsubo cardiomyopathy as an entity of stress-induced complications should be taken into consideration.

Identiferoai:union.ndltd.org:DRESDEN/oai:qucosa.de:bsz:15-qucosa-157944
Date16 December 2014
CreatorsHammer, Niels, Kühne, Christian, Meixensberger, Jürgen, Hänsel, Bernd, Winkler, Dirk
ContributorsUniversität Leipzig, Medizinische Fakultät, Universität Leipzig, Medizinische Fakultät, Universität Leipzig, Medizinische Fakultät, Universität Leipzig, Medizinische Fakultät, Elsevier,
PublisherUniversitätsbibliothek Leipzig
Source SetsHochschulschriftenserver (HSSS) der SLUB Dresden
LanguageEnglish
Detected LanguageEnglish
Typedoc-type:article
Formatapplication/pdf
SourceInt J Surg Case Rep (2014) doi.org/10.1016/j.ijscr.2014.10.002

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