J Dent Anesth Pain Med.  2015 Sep;15(3):157-160.

Takotsubo cardiomyopathy in a patient with oral cancer

• Jeon DN
• Park KH
• Lee JH
• Kim UK
• Kim EJ
• Yoon JY

Abstract

A patient with squamous cell carcinoma on the left mandible presented with symptoms similar to acute coronary syndrome just after surgery. The exact etiology was unclear, but following transthoracic echocardiogram, takotsubo cardiomyopathy was diagnosed. This is a rare, acute, and reversible form of heart failure, and the patient recovered completely within weeks. Related risk factors are believed to include extended surgery times and extended time under general anesthesia. Early recognition, followed by postoperative control of pain and anxiety are crucial to patient recovery.

Keyword

Oral cancer; Takotsubo cardiomyopathy; Transthoracic echocardiogram

MeSH Terms

Acute Coronary Syndrome
Anesthesia, General
Anxiety
Carcinoma, Squamous Cell
Heart Failure
Humans
Mandible
Mouth Neoplasms*
Risk Factors
Takotsubo Cardiomyopathy*

Figure

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  Fig. 1 Four-and-two chamber echocardiographic views demonstrating the typical apical and mid-ventricular left ventricular wall-motion abnormalities of a patient.

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