Takotsubo cardiomyopathy following resection of a fourth ventricle tumour

A J Ashcroft; J McKinlay; J Sira

doi:10.1002/anr3.12028

Takotsubo cardiomyopathy following resection of a fourth ventricle tumour

Anaesth Rep. 2019 Dec 18;7(2):100-103. doi: 10.1002/anr3.12028. eCollection 2019 Jul-Dec.

Authors

A J Ashcroft¹, J McKinlay², J Sira²

Affiliations

¹ Anaesthetic and Intensive Care Trainee Leeds General Infirmary Leeds UK.
² Anaesthetic and Intensive Care Consultant Leeds General Infirmary Leeds UK.

Abstract

Takotsubo cardiomyopathy is a rare disorder associated with catecholamine discharge in response to episodes of stress. We present the case of a 39-year-old patient with no other significant medical history who suffered acute ECG changes, left ventricular dysfunction with regional wall motion abnormalities and raised cardiac enzymes following a period of severe and sustained hypertension and tachycardia associated with resection of tumour from the floor of the fourth ventricle. We believe this to be only the second case of a takotsubo cardiomyopathy related to intracranial surgery. It demonstrates the need for consideration, recognition and diagnosis of takotsubo cardiomyopathy following periods of severe peri-operative stress.

Keywords: cardiovascular; general physiology; intensive care; neuro‐anaesthesia.

Publication types

Case Reports