Takotsubo cardiomyopathy triggered by venous air embolism during craniotomy in sitting position: a case report.

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Takotsubo cardiomyopathy triggered by venous air embolism during craniotomy in sitting position: a case report.

World Neurosurg. 2017 Jul 29;:

Authors: Raimann F, Senft C, Honold J, Zacharowski K, Seifert V, Mersmann J

Abstract
BACKGROUND: Here we present a case of a stress induced cardiomyopathy (TakoTsubo cardiomyopathy) caused by a venous air embolism during a craniotomy in sitting position.
CASE DESCRIPTION: A 69-year old female patient was admitted to the neurosurgical department and scheduled for elective resection of a cerebellar metastasis in sitting position. After craniotomy and opening of the posterior fossa a venous air embolism was detected via transesophageal echocardiography. Immediately, the patient presented a cardiac decompensation with signs of TakoTsubo or stress-induced cardiomyopathy.
CONCLUSIONS: Being aware of stress induced cardiomyopathy as a probably underdiagnosed disease entity should be mandatory to the intensivists and anesthesiologists in the operating room and on intensive care units, especially since its management will differ significantly from other forms of cardiogenic shock. Diagnosis can quickly be approached by bedside echocardiography emphasizing the need for availability of this tool and the integration in diagnostic algorithms on the ICU.

PMID: 28765018 [PubMed - as supplied by publisher]

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