Results
Title

Takotsubo cardiomyopathy in aneurysmal subarachnoid hemorrhage - a case report.

Authors

Milaković, Branko; Nastasović, Tijana; Lepić, Milan; Novaković, Nenad; Matić, Siniša; Savić, Andrija; Rasulić, Lukas

Abstract

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.

Subjects

SUBARACHNOID hemorrhage; TAKOTSUBO cardiomyopathy; CORONARY disease; PULMONARY edema; HOSPITAL admission & discharge; CORONARY angiography

Publication

Vojnosanitetski Pregled: Military Medical & Pharmaceutical Journal of Serbia, 2019, Vol 76, Issue 10, p1087

ISSN

0042-8450

Publication type

Academic Journal

DOI

10.2298/VSP170705179M