Key result
Emergent exploratory laparotomy triggers Takotsubo cardiomyopathy mimicking acute coronary syndrome in a 45-year-old male.
Case Report (n=1)
No
Takotsubo cardiomyopathy should be considered in the differential diagnosis of perioperative cardiac events, even in atypical patient profiles such as young males.
TCM should be considered in postoperative ACS-like presentations; this single case leaves open perioperative stress as a trigger pending systematic study.
Takotsubo cardiomyopathy (TCM), also known as stress-induced cardiomyopathy, is a transient left ventricular dysfunction often precipitated by acute emotional or physical stress. We present a case of a 45-year-old male patient who developed Takotsubo cardiomyopathy subsequent to an emergent laparotomy. Postoperative chest pain and ST-segment elevation on electrocardiogram (ECG) raised the concern for acute coronary syndrome; however, coronary angiography revealed no obstructive lesions. This case emphasizes the importance of including Takotsubo cardiomyopathy in the differential diagnosis of perioperative cardiac events, even in atypical patient profiles.
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Ghazal et al. (2025) conducted a case report in Takotsubo cardiomyopathy (n=1). Emergent midline exploratory laparotomy was evaluated on Development of Takotsubo cardiomyopathy. A 45-year-old male developed Takotsubo cardiomyopathy, mimicking acute coronary syndrome, ten hours after an emergent midline exploratory laparotomy.
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