Takotsubo Cardiomyopathy Post Induction of Anesthesia

Abstract

We report the case of a 67-year-old female patient who underwent radiofrequency ablation of a renal cell carcinoma, and developed dynamic ST elevation immediately following induction of anesthesia. She was transferred to the cardiac catheterization laboratory where she underwent a coronary angiogram. This showed no obstruction of the coronary arteries, but an echocardiogram demonstrated an ejection fraction of 20% with a picture suggestive of Takotsubo cardiomyopathy. The patient later developed pulmonary edema requiring continuous positive pressure ventilation (CPAP), inotropes and vasopressors. She made a good recovery by the third day following induction, with resolution of her elevated ST segments, troponin and impaired ejection fraction.




J Med Cases. 2015;6(9):437-439
doi: http://dx.doi.org/10.14740/jmc2280w