Key result
A 32-year-old woman developed Takotsubo syndrome 24 hours after spinal surgery, presenting with hypotension, chest pain, and apical hypokinesia that resolved with supportive care.
Case Report (n=1)
No
Takotsubo syndrome is a rare but potentially severe postoperative complication of spinal surgery that mimics acute coronary syndrome and requires prompt multidisciplinary management.
May prompt vigilance for Takotsubo syndrome after spinal surgery; hypothesis-generating and requires larger studies before changing practice.
We present the case of a 32-year-old woman with a diagnosis of lumbar root syndrome and spondylolisthesis, which is why she underwent surgery. Anterior discectomy and intersomatic box placement plus posterior fixation were performed with percutaneous transpedicular screws in L5-S1. At 24 hours of the procedure, the patient presents sustained hypotension, adding sudden and intense chest pain with neck irradiation, dyspnea, and diaphoresis, as well as electrocardiographic abnormalities and elevation of cardiac enzymes suggestive of an acute coronary syndrome, subsequently evidence of basal hypokinesis in the echocardiogram. After providing hemodynamic support and analgesic management, the symptoms were resolved, and the electrocardiogram (ECG) and cardiac enzymes were normalized, allowing an adequate postoperative evolution.
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Ramírez-Aragón et al. (2023) conducted a case report in Takotsubo Syndrome (n=1). Spinal surgery was evaluated on Development of Takotsubo syndrome. A 32-year-old woman developed Takotsubo syndrome 24 hours after spinal surgery, presenting with hypotension, chest pain, and apical hypokinesia that resolved with supportive care.
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