ABSTRACT
Takotsubo cardiomyopathy also known as transient apical ballooning syndrome or stress induced reversible cardiomyopathy is an increasingly reported syndrome generally characterized by transient systolic dysfunction of the apical and/or mid segment of the left ventricle. It is frequently precipitated by severe stress and clinically mimics an acute ST‑elevation myocardial infarction, with angiographically normal coronary arteries. A high index of suspicion is needed to diagnose this syndrome. We describe a patient who developed Takotsubo cardiomyopathy in the post‑operative period following vaginal hysterectomy.
Subject(s)
Anesthesia/administration & dosage , Coronary Angiography , Female , Humans , Hysterectomy, Vaginal/adverse effects , Middle Aged , Postoperative Complications/diagnosis , Postoperative Complications/etiology , Takotsubo Cardiomyopathy/diagnosis , Takotsubo Cardiomyopathy/etiologyABSTRACT
Patients suffering with significant coronary artery disease undergoing elective noncardiac surgery may benefit by revascularisation prior to noncardiac surgery with high or intermediate risks. Alternatively, combined procedures can be performed. We describe the management of an anaesthetic patient suffering with significant coronary artery disease with left ventricular dysfunction and tumour of the tongue causing difficult intubation.