Anesthetic management of a patient with Takotsubo cardiomyopathy presenting for surgical clipping of intracranial aneurysm
Takotsubo cardiomyopathy (TC) or stress-induced
cardiomyopathy is a rare but devastating condition, with
high mortality and morbidity which affects the patient
outcome. Initially described in patient with subarachnoid
hemorrhage (SAH) and trauma, the disorder has been
recognized to occur in a variety of other conditions.[1] The
hallmark of the condition is the electrocardiogram changes of
myocardial ischemia, severe left ventricular dysfunction with
normal coronary angiogram. Increased incidence has been
reported in the perioperative period, especially after anesthetic
induction. Literature search showed little about the anesthetic
management of patients with documented TC.