Medizinische Universität Graz Austria/Österreich - Forschungsportal - Medical University of Graz
Gewählte Publikation:
SHR Neuro Krebs Kardio Lipid Stoffw Microb
Hammer, N; Kühne, C; Meixensberger, J; Hänsel, B; Winkler, D.
Takotsubo cardiomyopathy - An unexpected complication in spine surgery.
Int J Surg Case Rep. 2015; 6C(2):172-174
Doi: 10.1016/j.ijscr.2014.10.002
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- Co-Autor*innen der Med Uni Graz
- Hammer Niels
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- Abstract:
- Takotsubo cardiomyopathy is an apical ballooning syndrome, which can be triggered by stress. Only few case reports describe the onset of Takotsubo as a complication of neurosurgery procedures. A case of a 53 year-old female with a spinal neurinoma and surgery-associated Takotsubo cardiomyopathy is demonstrated. The patient developed typical signs of a myocardial infarction with circulation depression and ST elevation, but normal cardiac enzymes at the end of surgery. Cardiac catheterization and levocardiography confirmed the absence of any critical coronary disease but the presence of a typical apical ballooning and midventricular hypokinesis. The patient recovered completely under supportive conservative and cardiological therapy, showing regular left ventricular pump function. Interventions in neurosurgery and perioperative care should be kept as stress free as possible. Due to the possibility of neurogenic mechanisms related to cardiomyopathy, Takotsubo cardiomyopathy as an entity of stress-induced complications should be taken into consideration. Crown Copyright © 2014. Published by Elsevier Ltd. All rights reserved.
- Find related publications in this database (Keywords)
- Apical ballooning
- Neurinoma
- Stress-free surgery
- Takotsubo cardiomyopathy