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. 2019 Jan 3;5(2):20180101.
doi: 10.1259/bjrcr.20180101. eCollection 2019 Jun.

Takotsubo cardiomyopathy following ultrasound-guided renal cyst aspiration

Dorissa Lahner Gursahaney  1 , Dominik M Wiktor  2 , Jonathan Lindquist  1
Affiliations

Takotsubo cardiomyopathy following ultrasound-guided renal cyst aspiration

Dorissa Lahner Gursahaney et al. BJR Case Rep. .

Abstract

Interventional radiology plays a critical role in offering minimally invasive procedures, resulting in increased patient comfort. However, of the millions of patients undergoing interventional procedures each year, many suffer from pre-procedural psychological stressors related to fear of discomfort and diagnostic uncertainty. We describe a case of Takotsubo cardiomyopathy, also called broken heart syndrome or stress cardiomyopathy, following ultrasound-guided renal cyst aspiration in a patient with severe anxiety in anticipation of the interventional radiology procedure.

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Figures

Figure 1.
Figure 1.
(a–b) A 48-year-old healthy female with history of ADPKD presents for routine outpatient renal cyst aspiration. Ultrasound of the right kidney (a) demonstrates multiple renal cysts. Renal cysts were aspirated under ultrasound guidance (b) using an 18-gauge Chiba needle. ADPKD, autosomal dominant polycystic kidney disease.
Figure 2.
Figure 2.
Left coronary angiography. The left anterior descending and circumflex coronary arteries have no angiographically apparent coronary atherosclerosis, spasm or embolic occlusion.
Figure 3.
Figure 3.
Left ventriculogram in systole reveals apical ballooning due to severe hypokinesis in the apical segments and hyperdynamic basal segments, consistent with Takotsubo cardiomyopathy.
See this image and copyright information in PMC

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