Key result
Surgical patch closure successfully repaired a rare ventricular septal perforation complicating Takotsubo syndrome in a 71-year-old woman, with the patient surviving at 1-year follow-up.
Case Report (n=1)
No
Ventricular septal perforation is a rare but life-threatening complication of Takotsubo syndrome that requires early recognition and management.
Successful surgical repair is feasible for Takotsubo syndrome with apical ventricular septal perforation; leaves open optimal management strategies.
A 71-year-old woman was admitted with dyspnea. An electrocardiogram revealed ST-segment elevation, and echocardiography showed akinesis in the left ventricular apex with hyperkinesis of the base. Coronary angiography revealed no stenosis, and left ventriculography indicated ballooning of the left ventricular apex and apical ventricular septal perforation. We diagnosed the patient with Takotsubo syndrome complicated by ventricular septal perforation, which was surgically repaired. Although ventricular septal perforation is recognized as a life-threatening complication after acute myocardial infarction, it can also occur after Takotsubo syndrome. The early recognition and management of this condition can help prevent morbidity and mortality.
No takes yet. Share an insight, caveat, or question.
Tsuji et al. (2018) conducted a case report in Takotsubo syndrome complicated by ventricular septal perforation (n=1). Surgical patch closure was evaluated on Clinical outcome (survival and repair of VSP). Surgical patch closure successfully repaired a rare ventricular septal perforation complicating Takotsubo syndrome in a 71-year-old woman, with the patient surviving at 1-year follow-up.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: