Takotsubo cardiomyopathy in aneurysmal subarachnoid hemorrhage: A case report
| Autor: | Andrija Savić, Tijana Nastasovic, Nenad Novaković, Branko Milakovic, Lukas Rasulić, Sinisa Matic, Milan Lepić |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Subarachnoid hemorrhage diagnosis subarachnoid hemorrhage Cardiomyopathy Coronary artery disease Aneurysm medicine.artery Internal medicine medicine echocardiography pulmonary edema Pharmacology (medical) cardiovascular diseases takotsubo cardiomiopathy lcsh:R5-920 business.industry medicine.disease nervous system diseases 3. Good health Hydrocephalus Posterior inferior cerebellar artery Heart failure cardiovascular system Cardiology ventricular function left coronary angiography Transthoracic echocardiogram lcsh:Medicine (General) business |
| Zdroj: | Vojnosanitetski Pregled, Vol 76, Iss 10, Pp 1087-1093 (2019) |
| ISSN: | 2406-0720 0042-8450 |
| DOI: | 10.2298/vsp170705179m |
| Popis: | Introduction. Subarachnoid haemorrhage (SAH) can be followed by cardiac abnormalities. We describe a patient with Takotsubo cardiomyopathy and neurogenic pulmonary edema (NPE) after aneurysmal SAH. Case report. A previously healthy, postmenopausal woman, suffered from aneurysmal SAH with consequent hydrocephalus. After external ventricular drainage, craniotomy and clipping of the posterior inferior cerebellar artery aneurysm, the patient developed acute heart failure and NPE. Transthoracic echocardiogram showed the left ventricular apical ballooning and hypercontractile basal segments. On chest radiography, bilateral pulmonary infiltrates were seen. Seventeen days after the SAH attack, the patient was discharged from hospital. Postponed coronary angiography revealed no signs of coronary artery disease. Conclusion. This case and review of the relevant literature suggest that Takotsubo cardiomyopathy and neurogenic pulmonary edema are not uncommon after aneurysmal SAH. |
| Databáze: | OpenAIRE |
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