Ventricular Septal Perforation: A Rare but Life-Threatening Complication Associated with Takotsubo Syndrome

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 ve...

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Detalles Bibliográficos
Autores principales: Tsuji, Masaki, Isogai, Toshiaki, Okabe, Yuta, Nishimura, Yoshihiro, Itagaki, Shingo, Enatsu, Kazuaki, Hisagi, Motoyuki, Nonaka, Takahiro, Ninomiya, Mikio, Otsuka, Toshiya, Tanaka, Hiroyuki, Tejima, Tamotsu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6028679/
https://www.ncbi.nlm.nih.gov/pubmed/29434120
http://dx.doi.org/10.2169/internalmedicine.0014-17
Descripción
Sumario: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.

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