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Rare disease
Case report
Postoperative cardiogenic shock secondary to Takotsubo’s syndrome
  1. Tessa Dessain1,
  2. Rachel Stewart2 and
  3. Shashank Patil3
  1. 1 Anaesthetic Department, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
  2. 2 Emergency Medicine, Chelsea and Westminster Hospital, London, UK
  3. 3 Emergency Department, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK
  1. Correspondence to Dr Tessa Dessain; tessadessain{at}gmail.com

Abstract

Takotsubo’s syndrome is a rare acute reversible heart failure, where the pathophysiology is not fully understood. It is being increasingly diagnosed in varied clinical contexts, which can result in atypical presentations in the context of surgical or anaesthetic stress. We discuss the case of a 22-year-old woman who developed cardiogenic shock and impaired left ventricular function after an elective gynaecological procedure. She had a rapid recovery and a follow-up cardiac MRI confirmed Takotsubo’s syndrome.

  • anaesthesia
  • cardiovascular medicine
  • heart failure
  • emergency medicine
  • resuscitation

https://doi.org/10.1136/bcr-2019-233055

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    Footnotes

    • Twitter @shashankal1

    • Contributors TD took the lead in writing the manuscript. TD and RS provided critical feedback and helped in editing the manuscript. SP supervised the project.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.