Cardiopulmonary arrest due to bronchoscopy-induced Takotsubo syndrome in a patient with antineutrophil cytoplasmic autoantibody-associated lung disease: a case report

Yoshio OKANO; Takashi YAMASAKI; Ryuichiro IMAI; Hiroyasu OKAZAKI; Yuji HIGUCHI; Tsutomu SHINOHARA

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Cardiopulmonary arrest due to bronchoscopy-induced Takotsubo syndrome in a patient with antineutrophil cytoplasmic autoantibody-associated lung disease: a case report

VernacularTitle:Cardiopulmonary arrest due to bronchoscopy-induced Takotsubo syndrome in a patient with antineutrophil cytoplasmic autoantibody-associated lung disease: a case report
Author: Yoshio OKANO ¹ ; Takashi YAMASAKI ² ; Ryuichiro IMAI ³ ; Hiroyasu OKAZAKI ⁴ ; Yuji HIGUCHI ⁴ ; Tsutomu SHINOHARA ⁵
Author Information

1. Division of Pulmonary Medicine, National Hospital Organization Kochi Hospital, Japan
2. Division of Cardiovascular Disease, National Hospital Organization Kochi Hospital, Japan
3. Department of Medicine & Cardiology, Chikamori Hospital, Japan
4. Division of Internal Medicine, Shimanto City Hospital, Japan
5. Division of Internal Medicine, Japan Agricultural Cooperatives Kochi Hospital, Japan
Keywords: Takotsubo syndrome; cardiopulmonary arrest; bronchoscopy; antineutrophil cytoplasmic autoantibody (ANCA)
From:Journal of Rural Medicine 2022;17(3):181-183
CountryJapan
Language:English
Abstract: Objective: Cardiac arrest (CA) has been observed in some patients with Takotsubo syndrome (TTS), most of whom had CA at the initial presentation of TTS. The objective of this report was to discuss the factors underlying the onset of this syndrome.Case presentation: A 72-year-old woman with refractory antineutrophil cytoplasmic autoantibody-associated lung disease was referred to our hospital. Twenty minutes after bronchoscopic examination, cardiopulmonary arrest suddenly occurred. Resuscitation immediately resumed her heartbeat and spontaneous breathing. Subsequent 12-lead electrocardiography, echocardiography, and left ventricular angiography revealed TTS.Conclusion: This case indicates that bronchoscopy can cause severe TTS, especially in patients with systemic inflammation.