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A Case of Takotsubo Cardiomyopathy after Surgery for Common Bile Duct Stones

By Masayuki Tori, Shigeyuki Ueshima and Masaaki Nakahara

Abstract

Takotsubo cardiomyopathy (TC) is a rare reversible circulatory syndrome often detected in elderly patients after general surgery. We report the case of an 85-year-old woman who was admitted for obstructive jaundice and underwent ERCP and ENBD before operation. She finally underwent cholecystectomy and choledocholithotomy with the diagnosis of gallbladder and common bile duct stones. In the evening just after the operation, without symptoms of cardiac failure, her ECG suddenly exhibited abnormal ST-T elevation in leads II, III, and V2-V6, though neither CPK(MB) nor troponin T was elevated. Echocardiogram demonstrated basal hyperkinesis and apical dyskinesis, suggesting TC. Conservative treatment enabled recovery, ECG was normalized in a month, and the postoperative course was satisfactory. The stress on her during treatment might have been a cause of this unique cardiomyopathy, and it should be recalled that TC is a potential complication of hepato-biliary-pancreatic surgery

Topics: Published: March 2008
Publisher: S. Karger AG
OAI identifier: oai:pubmedcentral.nih.gov:3075173
Provided by: PubMed Central
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    1. Assessment of Takotsubo (ampulla) cardiomyopathy using
    2. E: Apical ballooning syndrome or takotsubo cardiomyopathy: a systemic review.
    3. et al: Effect of intravenous propranolol on left ventricular apical ballooning without coronary artery stenosis (ampulla cardiomyopathy): three cases.
    4. et al: Emotional stress-induced ‘ampulla cardiomyopathy’: discrepancy between the metabolic and sympathetic innervation imaging performed during the recovery course.
    5. et al: Systematic review: transient left ventricular apical ballooning: a syndrome that mimics ST-segment elevation myocardial infarction.
    6. mTc-tetrofosmin myocardial SPECT – comparison with acute coronary syndrome.
    7. (1991). Myocardial stunning due to simultaneous multivessel coronary spasms: a review of 5 cases.
    8. Sasaka K: The clinical features of takotsubo cardiomyopathy.
    9. Takotsubo cardiomyopathy following cholecystectomy: a poorly recognized cause of acute reversible left ventricular dysfunction.
    10. Takotsubo cardiomyopathy: A little-known cardiomyopathy makes its US debut.

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