Department of Orthopaedics, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India.
JBJS Case Connect. 2024 Jun 7;14(2). doi: e24.00031. eCollection 2024 Apr 1.
A 37-year-old man American Society of Anesthesiologists grade 1 patient with lumbar canal stenosis at the L4-L5 level underwent endoscopic decompression. Toward the end of the procedure, the patient developed sudden-onset bradycardia, followed by ventricular arrhythmia and acute pulmonary edema. The patient was successfully managed with resuscitation and supportive management and recovered uneventfully thereafter. A diagnosis of perioperative stress cardiomyopathy was subsequently made after evaluation of the patient.
The possibility of takotsubo cardiomyopathy should be considered in cases of acute perioperative cardiac decompensation and pulmonary edema in patients undergoing spinal surgery.
一名 37 岁美国麻醉医师协会分级 1 级的腰椎管狭窄症患者在 L4-L5 水平行内镜减压术。手术接近尾声时，患者突发心动过缓，继而出现室性心律失常和急性肺水肿。经过复苏和支持性治疗，患者成功得到救治，随后恢复顺利。在对患者进行评估后，诊断为围手术期应激性心肌病。
在接受脊柱手术的患者发生急性围手术期心脏失代偿和肺水肿时，应考虑到 Takotsubo 心肌病的可能性。
