Atypical takotsubo cardiomyopathy associated with nasal packing for paranasal sinus surgery.
Takotsubo cardiomyopathy (TC) is characterized by reversible left ventricular (LV) apical ballooning and no significant coronary artery stenosis. New variants of TC with localized wall motion abnormality or inversed pattern with hyperdynamic apex have been reported. We present the case of a 24-year-old female with atypical presentation of TC occurring in the setting of paranasal sinus surgery under local anaesthesia with post-surgical nasal packing. She did not demonstrate ST-segment elevation on electrocardiogram, but transient moderate LV systolic dysfunction and localized wall motion abnormality affecting basal to mid-ventricular anterior and anteroseptal wall. She rapidly and completely recovered without sequelae.
Park
Il-Kwon
IK
Department of Internal Medicine, Cardiovascular Center, Inje University Seoul Paik Hospital, Inje University College of Medicine, 85 Jeo-Dong 2-ga, Jung-Gu, Seoul, Republic of Korea.
Sir
Jung-Ju
JJ
Jung
Hye-Jin
HJ
Jo
So-Young
SY
Cho
Wook-Hyun
WH
Choi
Suk-Koo
SK
D000772:Anesthesia, Local; D005260:Female; D006487:Hemostasis; D006801:Humans; D009666:Nose; D010256:Paranasal Sinuses / Q000601:surgery*; D011183:Postoperative Complications; D012307:Risk Factors; D013599:Systole; D054549:Takotsubo Cardiomyopathy / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D013630:Tampons, Surgical / Q000009:adverse effects*; D013997:Time Factors; D014463:Ultrasonography; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology; D055815:Young Adult