Case Report
Copyright ©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 16, 2023; 11(29): 7187-7192
Published online Oct 16, 2023. doi: 10.12998/wjcc.v11.i29.7187
Case of takotsubo cardiomyopathy after surgical treatment of liver hydatid cyst: A case report
Yakup Altaş, Ülfet Abdullayeva
Yakup Altaş, Department of Cardiology, Private Melikgazi Hospital, Kayseri 38030, Turkey
Ülfet Abdullayeva, Department of General Surgery, Private Melikgazi Hospital, Kayseri 38030, Turkey
Author contributions: Altaş Y designed the report, and wrote and revised the paper; Abdullayeva U provided a preoperative computed tomography photograph, performed surgery on the patient, and provided a photograph of the surgical material; Both authors read and approved the final manuscript.
Informed consent statement: Consent was obtained from the patient for both the surgery and publication of her anonymized case in this report.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yakup Altaş, MD, Doctor, Department of Cardiology, Private Melikgazi Hospital, Alpaslan, Gökçe Fidan Sk. No. 6, Melikgazi, Kayseri 38030, Turkey. yakupaltas6@gmail.com
Received: July 18, 2023
Peer-review started: July 18, 2023
First decision: August 24, 2023
Revised: August 30, 2023
Accepted: September 12, 2023
Article in press: September 12, 2023
Published online: October 16, 2023
Processing time: 86 Days and 21.5 Hours
Abstract
BACKGROUND

Takotsubo cardiomyopathy, also called apical ballooning syndrome, is a disease that is often triggered by stress factors in postmenopausal women and mimics acute coronary syndrome. The aim of this article is to draw attention to takotsubo cardiomyopathy after surgical treatment of liver hydatid cyst.

CASE SUMMARY

A 50-year-old diabetic and hypertensive female patient was evaluated preoperatively before general surgery for liver hydatid cyst, and no cardiac problems were found. The patient was discharged on the 3rd postoperative day without any postoperative complications. On postoperative day 5, the patient presented to the emergency department with fever, shortness of breath, chills, and shivering and was hospitalized with the diagnosis of pneumonia. The troponin levels remained high during follow-up. Echocardiography was performed on postoperative day 7, after which the patient was referred to a tertiary center with the diagnosis of non-ST-elevation myocardial infarction due to akinesia in the apical region. Coronary angiography performed at the tertiary center showed normal coronary anatomy, and the patient was diagnosed with takotsubo cardiomyopathy.

CONCLUSION

Takotsubo cardiomyopathy mimicking myocardial infarction without ST segment elevation may develop after surgical treatment of liver hydatid cyst.

Keywords: Takotsubo cardiomyopathy; Liver hydatid cyst; Noncardiac surgery; Coronary angiography; Echocardiography; Case report

Core Tip: Takotsubo cardiomyopathy is a type of cardiomyopathy triggered by stress. Echocardiography shows akinesia in the apical region and hyperkinesis in other regions. Clinical, electrocardiographic, and laboratory findings mimic acute coronary syndrome. The diagnosis is made by excluding acute coronary syndrome. In our case, cardiomyopathy developed after surgical treatment of liver hydatid cyst.