Key result
Transient mid-ventricular Takotsubo cardiomyopathy linked to cardiac rupture in patients with cardiogenic shock.
Why the study?
Transient focal mid-ventricular Takotsubo syndrome complicated by cardiogenic shock due to cardiac rupture has not been previously documented.
Case Report (n=1)
Transient focal mid-ventricular Takotsubo syndrome can present as cardiogenic shock due to cardiac rupture and should be considered in the differential diagnosis.
May warrant consideration in cardiogenic shock differentials; leaves open causal role of focal Takotsubo in rupture.
BACKGROUND: Transient focal mid-ventricular Takotsubo syndrome (TTS) complicated by cardiogenic shock due to cardiac rupture has not been documented to our knowledge. CASE SUMMARY: A 76-year-old man was airlifted by helicopter emergency medical services. On admission, cardiogenic shock secondary to cardiac tamponade was diagnosed. Emergency pericardial fenestration was performed. Left ventricular angiography revealed severe dyskinesis in the mid-ventricular segment and hyperkinesis in both the basal and the apical regions. These findings initially raised suspicion for cardiac rupture secondary to a ventricular aneurysm. Repeat left ventricular angiography on day 4 showed complete resolution of wall motion abnormalities. A diagnosis of transient mid-ventricular stress cardiomyopathy complicated by cardiac rupture was made at that time. Surgical repair was performed. The patient was discharged home 56 days after admission. DISCUSSION: Partial or focal forms of TTS can mimic ventricular aneurysm, complicating diagnosis. TAKE-HOME MESSAGE: TTS should be considered a potential cause of cardiac rupture and included in the differential diagnosis by cardiologists.
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Takahashi et al. (2026) conducted a case report in Cardiogenic shock due to cardiac rupture by transient focal mid-ventricular Takotsubo cardiomyopathy (n=1). Emergency pericardial fenestration and surgical repair was evaluated on Survival and hospital discharge. A 76-year-old man with cardiogenic shock due to cardiac rupture secondary to transient focal mid-ventricular Takotsubo syndrome was successfully treated with surgical repair and discharged at 56 days.
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