CTICasesTakotsubo Cardiomyopathy
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Imaging findings
The patient presented with acute respiratory symptoms following thyroid surgery. Radiographic findings showed bilateral lower-lung consolidation and interstitial edema with septal thickening. Notably, there was a relative absence of pleural effusions despite the extent of pulmonary findings, which was attributed to the rapid onset of the process. Cardiac imaging and catheterization confirmed Takotsubo cardiomyopathy with apical ballooning, likely triggered by surgical stress.
Key takeaways
Takotsubo cardiomyopathy can present as acute, hydrostatic pulmonary edema mimicking multifocal pneumonia. In cases of acute respiratory distress with symmetric basal consolidations and evidence of interstitial edema, cardiac function should be evaluated, particularly if there is a known recent stressor or surgical procedure.
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