This case demonstrates that Takotsubo cardiomyopathy can rarely be complicated by ventricular septal perforation, which can be successfully managed with surgical closure.
Supports surgical closure for this rare complication; leaves open incidence and optimal strategies.
The patient was a 73-year-old female who developed chest pain and dyspnea 16 days after her husband passed away. ST segment elevation was detected on V2-5 by electrocardiography and emergency coronary arteriography was done for suspected acute myocardial infarction. No coronary arterial stenosis was present and ventricular septal perforation and takotsubo cardiomyopathy were diagnosed by left ventriculography. The perforation was closed and the patient was discharged 23 days after surgery. This patient had a very rare case of takotsubo cardiomyopathy, which was complicated by ventricular septal perforation and was saved by surgical treatment.
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Izumi et al. (2008) studied this question.
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