Severe stress cardiomyopathy following spinal corrective surgery for scoliosis complicated with pectus excavatum: a case report.

Autor: Yan X; Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, Nanjing, 210008, China., Zhang J; Department of Anesthesiology, Nanjing Drum Tower Hospital, The affiliated hospital of Nanjing University Medical School, Nanjing, 210008, China., Hao J; Department of Anesthesiology, Nanjing Drum Tower Hospital, The affiliated hospital of Nanjing University Medical School, Nanjing, 210008, China., Xie J; Nanjing Drum Tower Hospital Clinical College of Jiangsu University, Nanjing, 210008, China., Sun Y; Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, Nanjing, 210008, China. 13913846977@126.com., Ma Z; Nanjing Drum Tower Hospital Clinical College of Nanjing Medical University, Nanjing, 210008, China. mazhengliang1964@nju.edu.cn.
Jazyk: angličtina
Zdroj: BMC anesthesiology [BMC Anesthesiol] 2024 Sep 18; Vol. 24 (1), pp. 333. Date of Electronic Publication: 2024 Sep 18.
DOI: 10.1186/s12871-024-02713-4
Abstrakt: Background: Stress cardiomyopathy (SCM) is an acute heart failure syndrome characterized by transient, usually reversible left ventricular systolic dysfunction with normal or enhanced basal compensatory wall motion abnormalities involving the left ventricular anterior septum and apex, resulting in a "ballooning" appearance. However, it has rarely been reported in patients undergoing spinal surgery.
Case Presentation: We report a case of severe stress cardiomyopathy in a scoliosis patient with pectus excavatum who underwent spinal corrective surgery. During the wake-up period, circulatory collapse occurred. After multidisciplinary consultation, the patient was diagnosed with stress cardiomyopathy. At last, she had a good prognosis after a series of treatments including ECMO.
Conclusion: Stress cardiomyopathy is a reversible but uncommon condition. It can cause death if it is not diagnosed in time. Consequently, this report should improve the awareness of orthopedists and anesthesiologists for timely identification and management. For patients with potential risk factors, timely preoperative intervention should be performed to reduce the occurrence of stress cardiomyopathy.
(© 2024. The Author(s).)
Databáze: MEDLINE
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