transient apical ballooning;stress cardiomyopathy A Case of Takotsubo Cardiomyopathy Following Endovascular Abdominal Aortic Repair

Takeichiro Nakane＊	Naoki Kanemitsu＊	Masanori Honda＊
Go Yamashita＊	Hitoshi Okabayashi＊

（Department of Cardiovascular Surgery, Mitsubishi Kyoto Hospital＊, Kyoto, Japan）

We describe a case of Takotsubo cardiomyopathy in an 88-year-old woman who underwent endovascular aneurysm repair（EVAR）for an abdominal aortic aneurysm. The patient developed cardiac arrest shortly after the surgery. Following immediate resuscitation, her electrocardiogram showed extensive ST segment elevation in leads V2-V6, and echocardiography revealed apical akinesis with basal hyperkinesis. Emergency coronary angiography confirmed the absence of coronary lesions, and she was diagnosed with Takotsubo cardiomyopathy. Her cardiac function improved within a few days following the administration of catecholamines. Although EVAR is a less invasive surgical procedure, it may trigger Takotsubo cardiomyopathy. Prompt diagnosis and appropriate management of Takotsubo cardiomyopathy are essential to treat critical conditions in the acute phase.

 

Jpn. J. Cardiovasc. Surg. 48:335-340（2019）

Keywords：Takotsubo cardiomyopathy;endovascular abdominal aortic repair;perioperative complication;transient apical ballooning;stress cardiomyopathy