Apical ballooning syndrome complicated by acute severe mitral regurgitation with left ventricular outflow obstruction – Case report
Population
1 patient, 65-year-old female with Takotsubo cardiomyopathy complicated by acute severe mitral…
Design
Case_report
Follow-up
10 days
Authors
Discussion
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Member takes
Implication
May support mitral valve replacement for refractory LVOTO in Takotsubo cardiomyopathy; leaves open generalizability beyond this single case.
Structured PICO
P
Population
1 patient (n=1), 65-year-old female with Takotsubo cardiomyopathy (apical ballooning syndrome) complicated by acute severe mitral regurgitation, systolic anterior motion of the mitral valve, and significant left ventricular outflow tract obstruction (gradient 60-70 mmHg).
I
Intervention
Mechanical mitral valve replacement (29 mm St Jude valve)
O
Outcome
Resolution of left ventricular outflow obstruction and return of normal ventricular function
Mechanical mitral valve replacement successfully treated a rare complication of Takotsubo cardiomyopathy involving severe mitral regurgitation and dynamic left ventricular outflow tract obstruction.
Cite This Study
Chandrasegaram et al. (2007) studied this question.