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Case Reports
. 2015 Apr;22(1):47-50.

Postoperative Takotsubo cardiomyopathy triggered by intraoperative fluid overload and acute hypertensive crisis

Rosanna Varutti  1 , Tommaso Setti  1 , Tiberiu Ezri  1   2 , Gianluigi Nicolosi  3 , Gianluigi Rellini  3 , Matteo Cassin  3 , Yigal Leykin  1
Affiliations
Case Reports

Postoperative Takotsubo cardiomyopathy triggered by intraoperative fluid overload and acute hypertensive crisis

Rosanna Varutti et al. Rom J Anaesth Intensive Care. 2015 Apr.

Abstract
in English, Romanian

The Takotsubo cardiomyopathy is a rare haemodynamic dysfunction, only recently reported perioperatively. While the diagnostic criteria have been established and the outcome is known as favorable, the pathophysiological mechanisms are not entirely understood. Here we present the case of a patient scheduled for laparoscopic hysterectomy and adnexectomy, who early postoperatively developed a Takotsubo cardiomyopathy supposedly triggered by an acute hypertensive crisis due to intraoperative fluid overload.

Cardiomiopatia Takotsubo este o disfuncţie hemodinamică rareori întâlnită, de curând semnalată în perioada perioperatorie. Deşi criteriile pentru diagnostic au fost stabilite iar evoluţia este considerată ca fiind favorabilă, mecanismul fiziopatologic este încă insuficient cunoscut. Prezentăm cazul unei paciente operate laparoscopic pentru histerectomie şi anexectomie, care a dezvoltat imediat postoperator o cardiomiopatie Takotsubo, declanşată cel mai probabil de o criză hipertensivă acută consecutivă unei supraîncărcări lichidiene intraoperatorii.

Keywords: Takotsubo cardiomyopathy; fluid overload; hypertension; surgery.

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Conflict of interest statement

Conflict of interest Nothing to declare

Figures

Fig. 1
Fig. 1
Systolic apical ballooning of the left ventricle
Fig. 2
Fig. 2
Systolic apical ballooning of the left ventricle – secondary capture
See this image and copyright information in PMC

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