case_images: PMC5292174_01
case_images: Preoperative TTE, end diastole (preop pics).
case_images: CRICC2017-8063837.001.jpg
case_images: PMC5292174_01_CRICC2017-8063837.001.jpg
case_images: fig1
case_images: Resolution of her episode of SIC was defined by a repeat echocardiogram showing EF of 60% without identifiable wall motion abnormality (Figure 1, preoperative TTE, end diastole). Six months following her initial hospital discharge, a preoperative TTE demonstrated an EF of 60-65% without wall motion abnormality and an ECG having NSR and RBBB (Figures 1-3).
case_images: Preoperative/4 months after prior takotsubo cardiomyopathy (preop pics).
case_images: CRICC2017-8063837.002.jpg
case_images: PMC5292174_01_CRICC2017-8063837.002.jpg
case_images: fig2
case_images: After the first hospitalization, she had a follow-up nuclear stress test with EF of 72% without wall motion abnormality and electrocardiogram (ECG) with normal sinus rhythm (NSR) and right bundle branch block (RBBB) (Figure 2, preoperative/4 months after initial SIC). Six months following her initial hospital discharge, a preoperative TTE demonstrated an EF of 60-65% without wall motion abnormality and an ECG having NSR and RBBB (Figures 1-3).
case_images: Preoperative TTE, end systole (preop pics).
case_images: CRICC2017-8063837.003.jpg
case_images: PMC5292174_01_CRICC2017-8063837.003.jpg
case_images: fig3
case_images: Six months following her initial hospital discharge, a preoperative TTE demonstrated an EF of 60-65% without wall motion abnormality and an ECG having NSR and RBBB (Figures 1-3).
case_images: Immediately after seizure (postop pics).
case_images: CRICC2017-8063837.004.jpg
case_images: PMC5292174_01_CRICC2017-8063837.004.jpg
case_images: fig4
case_images: After the first hospitalization, she had a follow-up nuclear stress test with EF of 72% without wall motion abnormality and electrocardiogram (ECG) with normal sinus rhythm (NSR) and right bundle branch block (RBBB) (Figure 2, preoperative/4 months after initial SIC). Following management of her episode of RSE, her ECG demonstrated no ST segment elevation and sinus tachycardia (Figure 4, immediately after seizure).
case_images: Mid-ventricular akinesis, end systole (postop pics).
case_images: CRICC2017-8063837.005.jpg
case_images: PMC5292174_01_CRICC2017-8063837.005.jpg
case_images: fig5
case_images: A formal TTE was performed the following day, which revealed posterior wall akinesia, septal wall dyskinesia, and an EF of 15-20% (Figures 5 and 6, mid-ventricular akinesis at end systole and end diastole).
case_images: Mid-ventricular akinesis, end diastole (postop pics).
case_images: CRICC2017-8063837.006.jpg
case_images: PMC5292174_01_CRICC2017-8063837.006.jpg
case_images: fig6
case_images: A formal TTE was performed the following day, which revealed posterior wall akinesia, septal wall dyskinesia, and an EF of 15-20% (Figures 5 and 6, mid-ventricular akinesis at end systole and end diastole).
case_images: Resolution of SIC, end systole (SIC resolution pics).
case_images: CRICC2017-8063837.007.jpg
case_images: PMC5292174_01_CRICC2017-8063837.007.jpg
case_images: fig7
case_images: TTE was obtained which demonstrated no wall motion abnormality and her EF returned to a baseline of 60%, which was consistent with her previous admission (Figures 7 and 8, resolution SIC, end systole and end diastole). Three weeks postoperatively, she was hypertensive and tachycardic after extubation and required labetalol to control catecholamine surge to prevent exacerbation of SIC.
case_images: Resolution of SIC, end diastole (SIC resolution pics).
case_images: CRICC2017-8063837.008.jpg
case_images: PMC5292174_01_CRICC2017-8063837.008.jpg
case_images: fig8
case_images: TTE was obtained which demonstrated no wall motion abnormality and her EF returned to a baseline of 60%, which was consistent with her previous admission (Figures 7 and 8, resolution SIC, end systole and end diastole). Three weeks postoperatively, she was hypertensive and tachycardic after extubation and required labetalol to control catecholamine surge to prevent exacerbation of SIC.