title: [Development of Takotsubo Cardiomyopathy during Recovery from General Anesthesia: A Case Report].
abstract: Takotsubo cardiomyopathy is a cardiac syndrome characterized by transient left ventricular dysfunction. A 61-year-old woman underwent laparoscopic cholecystectomy under general anesthesia. During recovery from general anesthesia, several arrhythmias occurred without cardiac collapse following desflurane discontinuation and sugammadex sodium administration. She had a chest pain after extubation, with ST segment elevation in leads aV(L) and V2-4. Emergency left ventricular angiogram revealed no significant coronary stenosis, and excessive contraction of the base and severe hypokinesis of the apex suggested Takotsubo cardiomyopathy. Sympathetic hyperactivity during acute recovery from anesthesia with desflurane discontinuation and muscle relaxant reversal with sugammadex sodium was considered the likely cause of Takotsubo cardiomyopathy.
authors.forename: Hisayo
authors.initials: H
authors.lastname: Seno
authors.forename: Nobuyasu
authors.initials: N
authors.lastname: Komasawa
authors.forename: Yukiyo
authors.initials: Y
authors.lastname: Hasegawa
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Kusaka
authors.forename: Osamu
authors.initials: O
authors.lastname: Umegaki
authors.forename: Toshiaki
authors.initials: T
authors.lastname: Minami
mesh_terms: D000768:Anesthesia, General; D004576:Electromyography; D005260:Female; D006801:Humans; D008875:Middle Aged; D012811:Sigmoid Neoplasms / Q000601:surgery; D054549:Takotsubo Cardiomyopathy / Q000209:etiology / Q000503:physiopathology*