Ascending aortic aneurysm repair in the setting of Tako-tsubo cardiomyopathy. (May 2021)

• Record Type: Journal Article
• Authors: Matteucci, Matteo; Ferrarese, Sandro; Corazzari, Claudio; Telli, Gaia; Mantovani, Vittorio; Lorusso, Roberto; Beghi, Cesare
• Is Part Of: Perfusion. Volume 36:Number 4(2021)
• Page Start: 429
• Page End: 431
• Publication Date: 2021-05
• Subjects: ascending aortic aneurysm -- Tako-tsubo cardiomyopathy -- cardiac surgery; Perfusion (Physiology) -- Periodicals; Blood -- Circulation, Artificial -- Periodicals; Heart -- Surgery -- Periodicals; Extracorporeal Circulation -- Periodicals; Perfusion -- Periodicals; Circulation extracorporelle -- Périodiques; Perfusion -- Périodiques; 617.41
• DOI: 10.1177/0267659120950206
• Languages: English
• ISSNs: 0267-6591

Abstract

Tako-tsubo cardiomyopathy (TC) is characterized by acute but transient ventricular dysfunction without obstructive coronary artery disease, generally precipitated by emotional and physical triggers. We describe this syndrome in a 76-year-old woman who was admitted with thoracic pain secondary to TC as shown by echocardiographic assessment, with a concurrent diagnosis of giant ascending aortic aneurism. Surgical intervention was delayed to allow ventricular recovery and then to perform ascending aorta replacement. An individualized perioperative approach was applied to avoid a possible TC recurrence with an uneventful postoperative course.