Abstract
A 51-year-old female was admitted with subarachnoid hemorrhage (SAH) secondary to aneurysmal rupture of the anterior communicating artery (ACoA). Initial echocardiogram was normal. She underwent aneurysmal clipping and the initial postoperative period was uneventful. On the 9th postoperative day, she developed sudden-onset hypotension. Electrocardiogram (ECG) was performed suggestive of acute anterior wall myocardial infarction. Echocardiogram revealed apical ballooning with basal hypercontractility consistent with stress cardiomyopathy. To confirm the diagnosis, coronary angiography was performed, which was normal. She was treated conservatively; however, on the 11th postoperative day she had a sudden cardiac arrest and succumbed to death.
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