Key result
A 73-year-old man developed takotsubo cardiomyopathy following successful mechanical thrombectomy for acute ischemic stroke, highlighting the need to monitor for this complication.
Why the study?
Excess neurological stress by hemorrhagic stroke is known to induce takotsubo cardiomyopathy, prompting the report of a case occurring after mechanical thrombectomy for acute large vessel occlusion.
Case Report (n=1)
No
Takotsubo cardiomyopathy can occur as a complication of mechanical thrombectomy for acute ischemic stroke, mimicking acute myocardial infarction.
Post-thrombectomy ST elevation warrants Takotsubo consideration in the differential; extends sparse case reports but leaves incidence and mechanisms open.
BACKGROUND: Excess neurological stress by hemorrhagic stoke induces cardiomyopathy, namely takotsubo cardiomyopathy. Here, the authors report a case of takotsubo myopathy following mechanical thrombectomy for acute large vessel occlusion. OBSERVATIONS: A 73-year-old man was emergently brought to the authors' hospital because of left hemiparesis and consciousness disturbance. An ischemic lesion of the right cerebral hemisphere and the right internal carotid artery occlusion was revealed. Emergently, endovascular treatment was performed, and occlusion of the artery was reanalyzed. However, he suffered from hypotension with electrocardiogram abnormality. Subsequently, coronary angiography was performed, but the arteries were patent. The authors made a diagnosis of takotsubo cardiomyopathy. LESSONS: Endovascular recanalization for large cerebral artery occlusion is so effective that it is becoming widely used. Even in the successful recanalization, we need to care for the takotsubo cardiomyopathy.
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Yamasaki et al. (2021) conducted a case report in Acute ischemic stroke (n=1). Mechanical thrombectomy was evaluated on Development of Takotsubo cardiomyopathy. A 73-year-old man developed takotsubo cardiomyopathy following successful mechanical thrombectomy for acute ischemic stroke, highlighting the need to monitor for this complication.
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