Intraoperative stress cardiomyopathy.

Abstract

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.

• Authors: Edward Gologorsky, Angela Gologorsky
• Journal: Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography (J Am Soc Echocardiogr) Vol. 23 Issue 3 Pg. 340.e3-4 (Mar 2010) ISSN: 1097-6795 [Electronic] United States
• PMID: 19828290 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright (c) 2010 American Society of Echocardiography. Published by Mosby, Inc. All rights reserved.

Topics

• Acute Coronary Syndrome (diagnostic imaging)
• Adult
• Cardiovascular Surgical Procedures (adverse effects)
• Diagnosis, Differential
• Female
• Humans
• Hypotension (diagnostic imaging, etiology)
• Intraoperative Period
• Takotsubo Cardiomyopathy (diagnostic imaging, etiology)
• Ultrasonography