Intraoperative stress cardiomyopathy.
The authors discuss and present transesophageal echocardiographic images of intraoperative tako-tsubo cardiomyopathy in a female patient under general anesthesia. Intraoperative transesophageal echocardiography was performed in an attempt to manage a sudden episode of hypotension and mild pulmonary edema coincidental with surgical incision. The suspected diagnosis of stress cardiomyopathy was confirmed by computed tomographic angiography and cardiac catheterization. The patient made a complete recovery. This case report stresses the utility of transesophageal echocardiography in the differential diagnosis of intraoperative hypotension and suspected acute coronary syndrome.
Gologorsky
Edward
E
Department of Anesthesiology, CVT Division, University of Miami Miller School of Medicine/Jackson Memorial Hospital, Miami, Florida 33136, USA. egologorsky@med.miami.edu
Gologorsky
Angela
A
D054058:Acute Coronary Syndrome / Q000000981:diagnostic imaging; D000328:Adult; D013504:Cardiovascular Surgical Procedures / Q000009:adverse effects*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007022:Hypotension / Q000000981:diagnostic imaging* / Q000209:etiology*; D007432:Intraoperative Period; D054549:Takotsubo Cardiomyopathy / Q000000981:diagnostic imaging* / Q000209:etiology*; D014463:Ultrasonography