Intraoperative Stress Cardiomyopathy

Gologorsky, Edward MD, FASE
Gologorsky, Angela MD

^aDepartment of Anesthesiology, CVT Division, University of Miami Miller School of Medicine/ Jackson Memorial Hospital, Miami, Florida
^bDepartment of Anesthesia, Memorial Regional Hospital East, Hollywood, Florida

Reprint requests: Edward Gologorsky, MD, FASE, Department of Anesthesiology, CVT Division, University of Miami Miller School of Medicine/Jackson Memorial Healthcare Systems, 1611 NW 12th Avenue, Room Central 351, Miami, FL 33136 (E-mail: [email protected]).

Journal of the American Society of Echocardiography 23(3):p 340e3-340e4, March 2010.

The authors discuss and present transesophageal echocardiographic images of intraoperative tako-tsubo cardiomyopathy in a female patient under general anesthesia. Intraoperative transesophageal echocardiography was performed in an attempt to manage a sudden episode of hypotension and mild pulmonary edema coincidental with surgical incision. The suspected diagnosis of stress cardiomyopathy was confirmed by computed tomographic angiography and cardiac catheterization. The patient made a complete recovery. This case report stresses the utility of transesophageal echocardiography in the differential diagnosis of intraoperative hypotension and suspected acute coronary syndrome.