title: Fatal Takotsubo cardiomyopathy due to epinephrine in shoulder arthroscopy.
abstract: The authors report a case of a shoulder arthroscopy in which epinephrine saline irrigation was held responsible for acute hypertension followed by fatal Takotsubo cardiomyopathy.
authors.affiliation: Service d'orthopédie-traumatologie, hôpital de Sélestat, 23, avenue Pasteur, 67600 Sélestat, France. Electronic address: barbara.gicquel-schlemmer@ch-selestat.fr.
authors.forename: B
authors.initials: B
authors.lastname: Gicquel-Schlemmer
authors.affiliation: Service d'anesthésie, hôpital de Sélestat, 23, avenue Pasteur, 67600 Sélestat, France.
authors.forename: J-P
authors.initials: JP
authors.lastname: Beller
authors.affiliation: Service d'anesthésie, hôpital de Sélestat, 23, avenue Pasteur, 67600 Sélestat, France.
authors.forename: A
authors.initials: A
authors.lastname: Mchalwat
authors.affiliation: Service de chirurgie pédiatrique, hôpital de Hautepierre, CHU de Strasbourg, avenue Molière, 67098 Strasbourg, France.
authors.forename: P
authors.initials: P
authors.lastname: Gicquel
mesh_terms: D001182:Arthroscopy / Q000009:adverse effects; D004837:Epinephrine / Q000009:adverse effects*; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D006973:Hypertension / Q000139:chemically induced*; D008875:Middle Aged; D012782:Shoulder; D012785:Shoulder Joint / Q000601:surgery; D054549:Takotsubo Cardiomyopathy / Q000139:chemically induced*; D014662:Vasoconstrictor Agents / Q000009:adverse effects*
chemical_list: D014662:Vasoconstrictor Agents; D004837:Epinephrine
keywords: Arthroscopy; Epinephrine; Intraoperative complications; Takotsubo cardiomyopathy