Tako-Tsubo cardiomyopathy (TTC) is a rare disorder with high relevance for anaesthesia. It is an acute cardiac syndrome characterized by an ...SkiptomaincontentAdvertisementSearchallBMCarticlesSearchDownloadPDFCasereportOpenAccessPublished:27March2015CasereportofTako-TsubocardiomyopathyassociatedwithrepetitiveanaesthesiainafemalepatientwithTako-TsubocardiomyopathyJochenHinkelbein1,ChristianMey1,GerritBrinker2,RomanPfister3&BerndWBöttiger1 BMCAnesthesiologyvolume 15,Article number: 39(2015)Citethisarticle3325Accesses6CitationsMetricsdetailsAbstractBackgroundTako-Tsubocardiomyopathy(TTC)isararedisorderwithhighrelevanceforanaesthesia.Itisanacutecardiacsyndromecharacterizedbyanacuteonsetofreversibleleftventriculardysfunctionassociatedwithemotionalandphysicalstress.ThisistheonlycasepublishedofapatienthavingfivesevereTako-Tsuboincidentsinfiveconsecutivegeneralanaesthesiaprocedureswithinoneyear.CasepresentationA61 yearsoldfemalepatient(height1.65 m;weight70 kg)presentedwithahaemorrhagicpituitaryadenomawithcompressionoftheopticchiasmandwasscheduledfortransnasalendoscopictumourresection.Wereportacaseserieswithfiveconsecutiveanaesthesiaproceduresinthesamepatientforneurosurgery.Thiscaseseriesisremarkablesincetheseveresymptomsoccurredduringeveryanaesthesiaprocedure.Thefemalepatientwasresuscitatedtwotimesincludingtherapeutichypothermia,butfortunatelynoneurologicalorcognitivedeficitwasdetectable.ConclusionsTTCmayinitiallypresentintheperioperativeperiodwithpulmonaryoedema,electrocardiographic(ECG)changes,elevationofcardiacenzymes,andcardiogenicshockorcardiacarrest.SincetheriskofrecurrenceisconsideredtobelowinTTC,thiscasereportisofhighinterest.Ineachproceduresimilarclinicalsignswerefoundwhichresultedinseverehaemodynamicderangementsineverymanifestationandcardiacarrestintwoofthemanifestations.Despitecardiopulmonaryresuscitationtwice,thepatientsurvivedwithoutanyneurologicaldeficiency.PeerReviewreportsBackgroundTako-Tsubocardiomyopathy(TTC)isararedisorderwithanannualincidenceofapproxim