Takotsubo Syndrome in a Young Patient After a Neurosurgical Operation

• Published in: Arkhivʺ vnutrenneĭ medit͡s︡iny Vol. 12; no. 3; pp. 228 - 233
• Main Authors: Reznik, E. V., Pazova, A. A., Dunaeva, A. M., Tursheva, M. E., Selezneva, E. V.
• Format: Journal Article
• Language: English; Russian
• Published: SINAPS LLC 21.05.2022
• Subjects: apical ballooning syndrome; heart failure; postoperative comlications; postoperative period; stress-induced cardiomyopathy; takotsubo cardiomyopathy
• ISSN: 2226-6704; 2411-6564
• DOI: 10.20514/2226-6704-2022-12-3-228-233

Cardiomyopathy syndrome (stress-cardiomyopathy) is an acute reversible systolic dysfunction of left (or rare right) ventricle without stenotic atherosclerosis and/or thrombosis of coronary artery. We are presenting a case of stress-cardiomyopathy after the neurosurgery. Aim: The aim of this observation is to demonstrate a case of takotsubo syndrome in a young patient in the early postoperative period. Key points: A 21-years-old woman was hospitalized in the neurosurgery department. Hospitalization was performed due to persistent pain in the left elbow joint with irradiation to left 4 & 5 hand fingers as well as dysfunction of the left elbow joint, as a result of previous surgical intervention for a fracture one year before. Due to the lack of a positive effect from conservative therapy, it was decided to conduct a second surgical treatment. Decompression of the left ulnar nerve was performed at the level of the cubital canal with its transposition. This was complicated by the development of takotsubo syndrome in the postoperative period, confirmed by echocardiography, ECG, as well as the absence of atherosclerotic changes in the coronary artery according to coronary angiography. Conclusion: The early postoperative period may complicate of development of takotsubo syndrome, in the neurosurgical operations and in the young age too.