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Takotsubo cardiomyopathy complicating thoracoabdominal aortic aneurysm repair.

Publication ,  Journal Article
Abdalla, M; Abdel Halim, M; Bora, V; Mamoun, NF
Published in: J Clin Anesth
February 2018

We describe the management of a patient with symptomatic spinal cord hypoperfusion after thoracoabdominal aortic aneurysm repair, where the neurological insult and associated emotional stress precipitated Takotsubo cardiomyopathy. Transthoracic Echocardiography showed akinetic mid and apical left ventricular segments, while basal segments were spared. Emergent coronary angiography ruled out acute coronary syndrome. Excess catecholamines have been postulated as a contributing mechanism to the disease, therefore, catecholamines were avoided to prevent further myocardial injury. Takotsubo cardiomyopathy is associated with serious morbidity and mortality, which highlights the importance of early recognition and proper management for complete recovery of both cardiac and neurologic functions.

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Published In

J Clin Anesth

DOI

EISSN

1873-4529

Publication Date

February 2018

Volume

44

Start / End Page

78 / 79

Location

United States

Related Subject Headings

  • Takotsubo Cardiomyopathy
  • Muscle Weakness
  • Lower Extremity
  • Humans
  • Heart Ventricles
  • Heart Arrest
  • Endovascular Procedures
  • Echocardiography
  • Diagnosis, Differential
  • Coronary Angiography
 

Citation

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Abdalla, M., Abdel Halim, M., Bora, V., & Mamoun, N. F. (2018). Takotsubo cardiomyopathy complicating thoracoabdominal aortic aneurysm repair. J Clin Anesth, 44, 78–79. https://doi.org/10.1016/j.jclinane.2017.11.007
Abdalla, Mohamed, Mohamed Abdel Halim, Vaibhav Bora, and Negmeldeen F. Mamoun. “Takotsubo cardiomyopathy complicating thoracoabdominal aortic aneurysm repair.J Clin Anesth 44 (February 2018): 78–79. https://doi.org/10.1016/j.jclinane.2017.11.007.
Abdalla M, Abdel Halim M, Bora V, Mamoun NF. Takotsubo cardiomyopathy complicating thoracoabdominal aortic aneurysm repair. J Clin Anesth. 2018 Feb;44:78–9.
Abdalla, Mohamed, et al. “Takotsubo cardiomyopathy complicating thoracoabdominal aortic aneurysm repair.J Clin Anesth, vol. 44, Feb. 2018, pp. 78–79. Pubmed, doi:10.1016/j.jclinane.2017.11.007.
Abdalla M, Abdel Halim M, Bora V, Mamoun NF. Takotsubo cardiomyopathy complicating thoracoabdominal aortic aneurysm repair. J Clin Anesth. 2018 Feb;44:78–79.
Journal cover image

Published In

J Clin Anesth

DOI

EISSN

1873-4529

Publication Date

February 2018

Volume

44

Start / End Page

78 / 79

Location

United States

Related Subject Headings

  • Takotsubo Cardiomyopathy
  • Muscle Weakness
  • Lower Extremity
  • Humans
  • Heart Ventricles
  • Heart Arrest
  • Endovascular Procedures
  • Echocardiography
  • Diagnosis, Differential
  • Coronary Angiography