부산대학교 도서관

A 78-year-old female patient underwent microwave ablation (MWA) for recurrent hepatocellular carcinoma (HCC) on segment 7 of the liver. On the day after treatment, contrast-enhanced computed tomography demonstrated a sufficient ablative area. On the second postoperative day, the patient complained of chest discomfort and shortness of breath on exertion, accompanied by a negative T wave in V1-4 on electrocardiography and an increase in serum myocardial troponin I. Coronary angiography and left ventriculography suggested Takotsubo cardiomyopathy, but not acute coronary syndrome. The patient's symptoms gradually resolved in response to medication, and the patient was discharged 10 days after MWA. Although the pathogenesis of Takotsubo cardiomyopathy is unclear, excessive physical stress, such as surgical procedures, is associated with its development. Takotsubo cardiomyopathy should be considered a complication related to MWA for relatively large HCCs.