Successful Conservative Treatment of Cardiac Rupture Associated with Takotsubo Syndrome

We herein report a 75-year-old woman who was diagnosed with Takotsubo syndrome (TTS) complicated by left ventricular outflow tract obstruction on admission. Treatment with beta-blocker and anticoagulant was started; however, her hemoglobin level decreased gradually, and computed tomography performed...

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Autores principales: Mano, Yoshinori, Baba, Akiyasu, Sukegawa, Hiroaki, Sawano, Mitsuaki, Nishiyama, Takafumi, Ohki, Takahiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8313900/
https://www.ncbi.nlm.nih.gov/pubmed/33551402
http://dx.doi.org/10.2169/internalmedicine.5831-20
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author Mano, Yoshinori
Baba, Akiyasu
Sukegawa, Hiroaki
Sawano, Mitsuaki
Nishiyama, Takafumi
Ohki, Takahiro
author_facet Mano, Yoshinori
Baba, Akiyasu
Sukegawa, Hiroaki
Sawano, Mitsuaki
Nishiyama, Takafumi
Ohki, Takahiro
author_sort Mano, Yoshinori
collection PubMed
description We herein report a 75-year-old woman who was diagnosed with Takotsubo syndrome (TTS) complicated by left ventricular outflow tract obstruction on admission. Treatment with beta-blocker and anticoagulant was started; however, her hemoglobin level decreased gradually, and computed tomography performed one week later revealed hemopericardium. Oozing-type cardiac rupture was suspected; therefore, we discontinued heparin treatment. Finally, she recovered uneventfully without cardiac surgery. It is noteworthy that cardiac rupture may occur with TTS, especially in patients treated with prophylactic anticoagulation therapy for apical thrombus. Furthermore, conservative, careful observation is an alternative approach in patients with oozing-type cardiac rupture associated with TTS.
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spelling pubmed-83139002021-08-11 Successful Conservative Treatment of Cardiac Rupture Associated with Takotsubo Syndrome Mano, Yoshinori Baba, Akiyasu Sukegawa, Hiroaki Sawano, Mitsuaki Nishiyama, Takafumi Ohki, Takahiro Intern Med Case Report We herein report a 75-year-old woman who was diagnosed with Takotsubo syndrome (TTS) complicated by left ventricular outflow tract obstruction on admission. Treatment with beta-blocker and anticoagulant was started; however, her hemoglobin level decreased gradually, and computed tomography performed one week later revealed hemopericardium. Oozing-type cardiac rupture was suspected; therefore, we discontinued heparin treatment. Finally, she recovered uneventfully without cardiac surgery. It is noteworthy that cardiac rupture may occur with TTS, especially in patients treated with prophylactic anticoagulation therapy for apical thrombus. Furthermore, conservative, careful observation is an alternative approach in patients with oozing-type cardiac rupture associated with TTS. The Japanese Society of Internal Medicine 2021-02-08 2021-07-01 /pmc/articles/PMC8313900/ /pubmed/33551402 http://dx.doi.org/10.2169/internalmedicine.5831-20 Text en Copyright © 2021 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal 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
Mano, Yoshinori
Baba, Akiyasu
Sukegawa, Hiroaki
Sawano, Mitsuaki
Nishiyama, Takafumi
Ohki, Takahiro
Successful Conservative Treatment of Cardiac Rupture Associated with Takotsubo Syndrome
title Successful Conservative Treatment of Cardiac Rupture Associated with Takotsubo Syndrome
title_full Successful Conservative Treatment of Cardiac Rupture Associated with Takotsubo Syndrome
title_fullStr Successful Conservative Treatment of Cardiac Rupture Associated with Takotsubo Syndrome
title_full_unstemmed Successful Conservative Treatment of Cardiac Rupture Associated with Takotsubo Syndrome
title_short Successful Conservative Treatment of Cardiac Rupture Associated with Takotsubo Syndrome
title_sort successful conservative treatment of cardiac rupture associated with takotsubo syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8313900/
https://www.ncbi.nlm.nih.gov/pubmed/33551402
http://dx.doi.org/10.2169/internalmedicine.5831-20
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