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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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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:
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
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author Tsuji, Masaki
Isogai, Toshiaki
Okabe, Yuta
Nishimura, Yoshihiro
Itagaki, Shingo
Enatsu, Kazuaki
Hisagi, Motoyuki
Nonaka, Takahiro
Ninomiya, Mikio
Otsuka, Toshiya
Tanaka, Hiroyuki
Tejima, Tamotsu
author_facet Tsuji, Masaki
Isogai, Toshiaki
Okabe, Yuta
Nishimura, Yoshihiro
Itagaki, Shingo
Enatsu, Kazuaki
Hisagi, Motoyuki
Nonaka, Takahiro
Ninomiya, Mikio
Otsuka, Toshiya
Tanaka, Hiroyuki
Tejima, Tamotsu
author_sort Tsuji, Masaki
collection PubMed
description 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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spelling pubmed-60286792018-07-03 Ventricular Septal Perforation: A Rare but Life-Threatening Complication Associated with Takotsubo Syndrome Tsuji, Masaki Isogai, Toshiaki Okabe, Yuta Nishimura, Yoshihiro Itagaki, Shingo Enatsu, Kazuaki Hisagi, Motoyuki Nonaka, Takahiro Ninomiya, Mikio Otsuka, Toshiya Tanaka, Hiroyuki Tejima, Tamotsu Intern Med Case Report 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. The Japanese Society of Internal Medicine 2018-02-09 2018-06-01 /pmc/articles/PMC6028679/ /pubmed/29434120 http://dx.doi.org/10.2169/internalmedicine.0014-17 Text en Copyright © 2018 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Tsuji, Masaki
Isogai, Toshiaki
Okabe, Yuta
Nishimura, Yoshihiro
Itagaki, Shingo
Enatsu, Kazuaki
Hisagi, Motoyuki
Nonaka, Takahiro
Ninomiya, Mikio
Otsuka, Toshiya
Tanaka, Hiroyuki
Tejima, Tamotsu
Ventricular Septal Perforation: A Rare but Life-Threatening Complication Associated with Takotsubo Syndrome
title Ventricular Septal Perforation: A Rare but Life-Threatening Complication Associated with Takotsubo Syndrome
title_full Ventricular Septal Perforation: A Rare but Life-Threatening Complication Associated with Takotsubo Syndrome
title_fullStr Ventricular Septal Perforation: A Rare but Life-Threatening Complication Associated with Takotsubo Syndrome
title_full_unstemmed Ventricular Septal Perforation: A Rare but Life-Threatening Complication Associated with Takotsubo Syndrome
title_short Ventricular Septal Perforation: A Rare but Life-Threatening Complication Associated with Takotsubo Syndrome
title_sort ventricular septal perforation: a rare but life-threatening complication associated with takotsubo syndrome
topic Case Report
url 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
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