Stress takotsubo cardiomyopathy after pylorus preserving pancreaticoduodenectomy for cancer. A case report.
A pylorus-preserving cephalic pancreaticoduodenectomy was performed for tumor removal in a male elderly patient. In the following course no surgical complications occurred but ST-elevations and increase of Troponin T were observed. A coronary angiography revealed no relevant stenosis although a severe hypokinesis of the apex region was determined by echocardiography--a Takotsubo syndrome was assumed. This led to a significant prolonged clinical course. No residual problems remained but the cause of Takotsubo could not be identified. Analyzing the current knowledge, a feasible preoperative screening for this severe condition seems to be quite impossible.
Koplin
G
G
Department of General, Visceral, Vascular and Thoracic Surgery, Charité, University Medicine Berlin, Campus Mitte, Berlin. gerold.koplin@charite.de
Guenther
N
N
Menenakos
C
C
Braumann
C
C
D000368:Aged; D004562:Electrocardiography; D006801:Humans; D008297:Male; D010190:Pancreatic Neoplasms / Q000601:surgery*; D016577:Pancreaticoduodenectomy / Q000009:adverse effects* / Q000379:methods; D054549:Takotsubo Cardiomyopathy / Q000209:etiology*