Left ventricular aneurysm as long-term complication of Takotsubo cardiomyopathy: is it still a benign disease?—case report

Takotsubo cardiomyopathy is considered a benign syndrome that presented by transient characteristic left ventricular dysfunction with a variety of wall-motion abnormalities that resolve completely after few weeks. In this report, a 67-year-old female—who was diagnosed by Takotsubo cardiomyopathy after emotional stress 2 years ago—presented by shortness of breath that associated with palpitation and chest pain. Echocardiogram showed paradoxical septal motion with aneurysmal anterior septal walls. Myocardial perfusion imaging reveled no perfusion defects suggestive of ischemia. Cardiac magnetic resonance imaging reveled outpouching aneurysm of anterior septal wall with no delayed gadolinium enhancement. Heart team had recommended medical therapy. Patient was improved at follow-up visits. In conclusion, Takotsubo cardiomyopathy should be reconsidered as benign disease with short- and long-term outcome and complications.