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Ann Thorac Surg 2007;83:295-298
© 2007 The Society of Thoracic Surgeons

Case Reports

Takotsubo Cardiomyopathy: Expanding the Differential Diagnosis in Cardiothoracic Surgery

Marius Berman, MDa,*, Milton Saute, MDa, Eyal Porat, MDa, Mordechai Vaturi, MDb, Leslie Paul-Kislin, MDc, Bernardo A. Vidne, MDa, Alexander Kogan, MDa

a Department of Cardiothoracic Surgery, Rabin Medical Center, Beilinson Campus, Petach Tikva, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
b Department of Cardiology, Rabin Medical Center, Beilinson Campus, Petach Tikva, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel
c Department of Anesthesiology, Rabin Medical Center, Beilinson Campus, Petach Tikva, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Accepted for publication May 26, 2006.

* Address correspondence to Dr Berman, Department of Cardiothoracic Surgery Beilinson Campus, Rabin Medical Center, 49100 Petach Tikva, Israel (Email: berman_marius{at}yahoo.com).

We describe a case of takotsubo cardiomyopathy in a 69-year-old woman after right upper lobectomy, without cardiac antecedents. The immediate course of recovery was uneventful. On the first postoperative day, clinical symptoms of acute coronary syndrome developed in association with ischemic electrocardiographic changes and a mild elevation in creatinine phosphokinase levels. Echocardiography showed moderate left ventricular dysfunction, with a typical takotsubo pattern. Coronary angiography revealed no abnormalities. After 2 days of supportive treatment, the patient recovered completely. The clinical presentation, instrumental findings, additional cardiac and noncardiac diseases, and the potential pathomechanism of takotsubo cardiomyopathy are described according to the current medical literature.






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