Key result
Percutaneous closure was used as an alternative to surgical repair for a life-threatening ventricular septal perforation in an 84-year-old patient with Takotsubo cardiomyopathy.
Case Report (n=1)
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Demonstrates the feasibility of percutaneous closure for ventricular septal perforation complicating Takotsubo cardiomyopathy, challenging the notion that TTC is always benign.
Takotsubo cardiomyopathy (TTC) is a form of acute left ventricular dysfunction usually reversible and with favorable prognosis. Ventricular septal perforation (VSP) is a very rare life-threatening complication. Percutaneous closure of VSP, despite being challenging, is a possible alternative to surgical repair. We present the first case of an 84-year-old patient with a TTC-related VSP treated by percutaneous approach. The case highlights the need of reconsidering the worldwide accepted consideration of TTC as benignant and allows some speculations on the optimal management of VSP in terms of timing, patient selection and possible alternative interventions.
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Pepe et al. (2016) conducted a case report in Takotsubo cardiomyopathy with ventricular septal perforation (n=1). Percutaneous closure of ventricular septal perforation was evaluated. Percutaneous closure was used as an alternative to surgical repair for a life-threatening ventricular septal perforation in an 84-year-old patient with Takotsubo cardiomyopathy.
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