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Vojnosanitetski pregled
2019, vol. 76, br. 10, str. 1087-1093
jezik rada: engleski
vrsta rada: prikaz slučaja
doi:10.2298/VSP170705179M

Creative Commons License 4.0
Takotsubo kardiomiopatija kao posledica aneurizmatskog subarahnoidalnog krvarenja
aUniversity of Belgrade, Faculty of Medicine + Clinical Center of Serbia, Center for Anaesthesiology and Reanimatology, Belgrade
bUniverzitet u Beogradu, Medicinski fakultet, Klinički centar Srbije
cVojnomedicinska akademija
dMilitary Medical Academy, Clinic for Neurosurgery, Belgrade + University of Defence, Faculty of Medicine of the Military Medical Academy, Belgrade
eUniversity of Belgrade, Faculty of Medicine + Clinical Center of Serbia, Clinic for Neurosurgery, Belgrade

e-adresa: braca0902956@gmail.com

Sažetak

Uvod. Subarahnoidalno krvarenje (SAH) može biti praćeno srčanim poremećajima. Prikazali smo bolesnicu kod koje se razvila slika Takotsubo kardiomiopatije i neurogenog plućnog edema, posle ataka SAH. Prikaz bolesnika. Prethodno zdravoj osobi ženskog pola, u postmenopauzalnom životnom dobu, dogodilo se akutno SAH je izazvano pucanjem aneutizmatskog proširenja intrakranijalnog, arterijskog krvnog suda praćeno razvojem hidrocefalusa. Posle izvođenja spoljašnje ventrikularne drenaže, kraniotomije i klipsovanja aneurizme na zadnjoj, donjoj malomoždanoj arteriji, kod bolesnice se razvila klinička slika akutne slabosti srčanog mišića i neurogenog edema pluća. Transtorakalni ehokardiogram ukazao je na naduvavanje vršnog dela leve srčane komore i hiperkontraktilnost njenih bazalnih segmenata. Na nativnoj radiografiji pluća viđeni su obostrani, oblačasti infiltrati plućnog parenhima. Posle 17 dana od ataka SAH bolesnica je otpuštana iz bolnice. Naknadna koronarna angiografija nije pokazala znake oboljenja koronarnih arterija. Zaključak. Na osnovu kliničke slike bolesnice i uvidom u referentnu literaturu, zaključujemo da se Takotsubo kardiomiopatija i neurogeni edem pluća mogu očekivati sa značajnom verovatnoćom kod bolesnika sa aneurizmatskom SAH.

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Reference

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