case_images: PMC3272534_01
case_images: Immediate postoperative chest AP radiograph shows increased opacity in bilateral perihilar areas.
case_images: kjae-62-79-g001.jpg
case_images: PMC3272534_01_kjae-62-79-g001.jpg
case_images: F1
case_images: After reintubation, a large amount of pinkish, frothy secretion was suctioned from the endotracheal tube, arterial blood gas analysis (ABGA) showed a pH of 7.24, arterial carbon dioxide tension (PaCO2) of 55.6 mmHg, arterial oxygen tension (PaO2) of 47.9 mmHg and arterial oxygen saturation (SaO2) of 74.1% at an FiO2 of 1.0 and chest X-ray showed increased opacity in bilateral perihilar areas (Fig. 1), consistent with NPPE.
case_images: Postoperative electrocardiogram shows ST segment elevation in leads V2-4 and T-wave inversion in leads I, aVL, V2-6.
case_images: kjae-62-79-g002.jpg
case_images: PMC3272534_01_kjae-62-79-g002.jpg
case_images: F2
case_images: The 12-lead EKG revealed ST-segment elevation in leads V2-4 and T-wave inversion in leads I, aVL, V2-6 (Fig. 2).
case_images: Transthoracic echocardiography shows left ventricular dysfunction with apical ballooning resembling the octopus trap (takotsubo).
case_images: kjae-62-79-g003.jpg
case_images: PMC3272534_01_kjae-62-79-g003.jpg
case_images: F3
case_images: The echocardiogram revealed akinesia of the left ventricular wall from mid to apex causing apical ballooning (Fig. 3) and a reduced EF of 47%.