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Case Reports in Anesthesiology
Volume 2012, Article ID 103051, 3 pages
Case Report

Unusual Perioperative Cardiac Emergency in a Healthy Young Woman

1Department of Anaesthesiology and Intensive Care, GB Pant Hospital, Maulana Azad Medical College, New Delhi 110002, India
2Department of Neurosurgery, GB Pant Hospital, Maulana Azad Medical College, New Delhi 110002, India

Received 4 June 2012; Accepted 25 July 2012

Academic Editors: J. J. Derose, L. Hebbar, and P.-H. Tan

Copyright © 2012 Pragati Ganjoo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Serious cardiac complications occurring during noncardiac surgery in a young and otherwise normal person can be quite alarming for the anesthesiologist. We report here the case of a young, healthy woman who immediately after an uncomplicated spinal surgery developed a clinical picture suggestive of an acute myocardial infarction (MI) with positive relevant investigations. However, she had an abrupt and full clinical recovery and complete normalization of her cardiac investigations within a few days of this event and thereafter continued to lead a normal, symptom-free life unlike the usual course in an MI; her coronary angiography was also normal. A diagnosis of perioperative stress-induced cardiomyopathy or Takotsubo cardiomyopathy was subsequently made. This condition is characterized by a rapid, severe, but reversible, cardiac dysfunction triggered by physical or mental stress. Awareness of this entity should help anesthesiologists manage better this infrequent, but potentially life-threatening, perioperative complication.