Transesophageal echo diagnosis of perioperative unusual transient left ventricular apical ballooning syndrome

Abstract

Stress cardiomyopathy, or Takotsubo syndrome, is a widely recognized cardiac pathology with a clinical presentation similar to acute coronary syndrome and related to physical or emotional stress. Perioperatively, it is challenging to identify it given the variety of forms and scenarios in which it can present. We describe a 22-year-old patient with an atypical presentation of Takotsubo syndrome during anesthesia induction, which highlights the usefulness of transesophageal echocardiography for the initial diagnosis.

Takotsubo Syndrome in the Perioperative Period

“…37,38 Bruckman et al 39 reported a case that manifested moments after local anesthesia administration and incision in order for materials from previous facial fractures to be removed. Mantilla et al 40 reported TS during the surgical preparation for temporomandibular meniscopexy. In addition, 5 ENT and 4 head and neck cases of TS evolving in the postoperative period were identified (Table 1).…”