Coronary Surgery With Coincidental Exacerbation Of Recurrent Takotsubo's Cardiomyopathy: A Case Report
David M. Haybron1, Bipin Shrestha2.
1UPMC-Shadyside, Pittsburgh, PA, USA, 2Wheeling Hospital, Wheeling, WV, USA.
OBJECTIVE: The purpose of the study is to report a case of Coronary Surgery With Coincidental Exacerbation Of Recurrent Takotsubo's Cardiomyopathy
METHODS: 63 year old female was admitted to the hospital for chest pain and vague complaints of general malaise. Troponin was elevated with Troponin going from 0.017 ng/ml to 0.153 ng/ml. ECG was in sinus rhythm without St-segment elevation. Coronary angiography revealed multivessel CAD with total occlusion of first obtuse marginal. Ejection fraction was calculated with a value of 15% making the diagnosis of Takotsubo cardiomyopathy probable. Bypass surgery was indicated. Before sending the patient to bypass surgery echocardiography was repeated. Generally, takotsubo cardiomyopathy could be described in cases where coronary artery disease where stenotic lesion other than the LAD were found.
RESULTS: 63 year old female was admitted to the hospital for chest pain and vague complaints of general malaise. Troponin was elevated with Troponin going from 0.017 ng/ml to 0.153 ng/ml. ECG was in sinus rhythm without St-segment elevation. Coronary angiography revealed multivessel CAD with total occlusion of first obtuse marginal. Ejection fraction was calculated with a value of 15% making the diagnosis of Takotsubo cardiomyopathy probable. Bypass surgery was indicated. Before sending the patient to bypass surgery echocardiography was repeated. Generally, takotsubo cardiomyopathy could be described in cases where coronary artery disease where stenotic lesion other than the LAD were found.
CONCLUSIONS: 63 year old female was admitted to the hospital for chest pain and vague complaints of general malaise. Troponin was elevated with Troponin going from 0.017 ng/ml to 0.153 ng/ml. ECG was in sinus rhythm without St-segment elevation. Coronary angiography revealed multivessel CAD with total occlusion of first obtuse marginal. Ejection fraction was calculated with a value of 15% making the diagnosis of Takotsubo cardiomyopathy probable. Bypass surgery was indicated. Before sending the patient to bypass surgery echocardiography was repeated. Generally, takotsubo cardiomyopathy could be described in cases where coronary artery disease where stenotic lesion other than the LAD were found.
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