Abstract
Reverse takotsubo cardiomyopathy is an uncommon cardiomyopathy characterized by reversible regional wall motion abnormalities in the basilar segment of the left ventricle. This happens in the absence of any coronary artery pathology. Although it shares some pathogenic mechanisms with its more common variant, takotsubo cardiomyopathy, differences exist in terms of echocardiographic features, demographics, clinical manifestations, laboratory features, and prognosis. Cases of postoperative reverse takotsubo cardiomyopathy are less described in the literature. Herein, we report a case of reverse takotsubo cardiomyopathy in a 44-year-old woman occurring after exploratory laparotomy.
Highlights
Takotsubo cardiomyopathy (TTC), called “broken heart syndrome,” “transient apical ballooning,” and “stress cardiomyopathy,” is an acute cardiac syndrome that mimics myocardial infarction and characterized by transient cardiac wall motion abnormalities
We report a case of reverse TTC (r-TTC) in a patient who underwent exploratory laparotomy for small bowel obstruction
This catecholamine surge is believed to mediate a vascular dysfunction leading to coronary artery vasospasm, microvascular dysfunction, hyperdynamic contractility, and direct myocardial toxicity via free radicals formation.[5]
Summary
Takotsubo cardiomyopathy (TTC), called “broken heart syndrome,” “transient apical ballooning,” and “stress cardiomyopathy,” is an acute cardiac syndrome that mimics myocardial infarction and characterized by transient cardiac wall motion abnormalities This occurs in the absence of any coronary artery obstruction or acute plaque rupture.[1,2] In most cases of TTC, the cardiac wall motion abnormality does not follow a single epicardial coronary artery territory. A 44-year-old female patient with a known history of multiple sclerosis (MS) maintained on immunomodulatory agents presented to our emergency department with abdominal pain, nausea, and vomiting Her past surgical history was only remarkable for appendectomy and partial small bowel resection.
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