[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: Hisayo Seno, Nobuyasu Komasawa, Yukiyo Hasegawa, Yusuke Kusaka, Osamu Umegaki, Toshiaki Minami
• Journal: Masui. The Japanese journal of anesthesiology (Masui) Vol. 64 Issue 8 Pg. 826-9 (Aug 2015) ISSN: 0021-4892 [Print] Japan
• PMID: 26442416 (Publication Type: Case Reports, Journal Article)

Topics

• Anesthesia, General
• Electromyography
• Female
• Humans
• Middle Aged
• Sigmoid Neoplasms (surgery)
• Takotsubo Cardiomyopathy (etiology, physiopathology)