Abstract
A man in his 70s underwent right hepatectomy for a huge hepatocellular carcinoma. He was suspected of having intra-abdominal bleeding on postoperative day (POD) 1 ; thus, emergency surgery was planned. However, he experienced cardiopulmonary arrest due to Takotsubo cardiomyopathy (TC) during induction of general anesthesia. Percutaneous cardiopulmonary support (PCPS) was attached within 15 minutes. Fortunately, he recovered from the cardiopulmonary arrest without any late adverse events, including brain death. Coiling embolization therapy for hemostasis was performed under angiographic guidance after his general condition recovered. He was moved to another hospital for rehabilitation on POD 36. TC is characterized as abnormal cardiac wall motion, mainly at the left ventricular apex. While many patients with TC do not experience adverse events, recent case reports have described that some patients have died because of the onset of lethal arrhythmia. Epidemiologically, older adults tend to have TC, and thus, mortality due to TC is estimated to increase with the aging society in the near future. This case report is important because it suggests the possibility of recovery in patients with cardiopulmonary arrest due to TC, using immediate PCPS.
