Key result
Non-invasive medical management successfully treated a 92-year-old male with Takotsubo cardiomyopathy complicated by ventricular septal perforation, allowing complete recovery of wall motion.
Why the study?
Takotsubo cardiomyopathy complicated by ventricular septal perforation is very rare.
Case Report (n=1)
No
Non-invasive medical management may be a viable initial option for Takotsubo cardiomyopathy complicated by ventricular septal perforation if hemodynamics are preserved, allowing time for left ventricular systolic function to recover.
Answers are grounded in this paper and cite their sources.
May allow conservative management with persistent perforation in select elderly cases; leaves open optimal strategy for this rare complication.
Takotsubo cardiomyopathy is a common disease, but Takotsubo cardiomyopathy complicated by ventricular septal perforation is very rare. We describe the case of a 92-year-old male who had Takotsubo cardiomyopathy complicated by ventricular septal perforation. We treated the patient medically without surgical or catheter interventions. In three weeks, his abnormal wall motion recovered completely, whereas the ventricular septal perforation remained open. He was ambulatory, subsequently discharged, and had been uneventful for one year. In this manuscript, we discuss the importance of non-invasive management for Takotsubo cardiomyopathy complicated by ventricular septal perforation.
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Narita et al. (2018) conducted a case report in Takotsubo cardiomyopathy complicated by ventricular septal perforation (n=1). Non-invasive medical management (diuretics) was evaluated on Clinical recovery and survival. Non-invasive medical management successfully treated a 92-year-old male with Takotsubo cardiomyopathy complicated by ventricular septal perforation, allowing complete recovery of wall motion.
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