Takotsubo Syndrome as a Cause of Trans-surgical Cardiorespiratory Arrest in Plastic Surgery: a Case Report

Abstract

Takotsubo cardiopathy is a specific type of heart attack commonly linked with sudden emotional stress and usually presenting in postmenopausal women. It is thought to occur through direct catecholamine-associated myocardial toxicity. The case report described herein outlines an instance of the syndrome arising during a liposuction on a 24-year-old female patient with a history of family stress. Present their clinical, laboratory, transthoracic echocardiogram, and electrocardiographic. During the procedure, epinephrine at a dilution of 1:1,000,000 was used and 3 h after the beginning of the surgery, she developed a cardiorespiratory arrest, requiring ICU care. A transthoracic echocardiogram revealed normal right ventricle systolic function with hypokinesis of the middle and apical segments in the left ventricle and hypercontractility of the basal segments, with an ejection fraction of 30%, and presenting a total recovery on postoperative day 37. Our report documents the first case occurring in a young patient undergoing liposuction.