Perioperative Management and Clinical Course of Acromegaly-Related Heart Failure: A Case Report.
Christian Zbihley, Temitayo Olasehinde, Alex Will et al.
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Case in brief
A 73-year-old female with undiagnosed acromegaly presented for robotic supracervical hysterectomy. The surgery was aborted due to a severely depressed ejection fraction of 10% to 15%, leading to the diagnosis of acromegaly and heart failure. After treatment, her ejection fraction improved to 50% to 55%, allowing her to successfully undergo pelvic organ prolapse repair 15 months later.
Diagnostic / clinical pearl
Clinicians should maintain a high index of suspicion for acromegaly in patients with unexplained cardiac dysfunction, as early diagnosis can significantly improve perioperative outcomes.