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

被引：8

作者：

Tsuji, Masaki ^{[1
]}

Isogai, Toshiaki ^{[1
]}

Okabe, Yuta ^{[1
]}

Nishimura, Yoshihiro ^{[1
]}

Itagaki, Shingo ^{[2
]}

Enatsu, Kazuaki ^{[2
]}

Hisagi, Motoyuki ^{[3
]}

Nonaka, Takahiro ^{[3
]}

Ninomiya, Mikio ^{[3
]}

Otsuka, Toshiya ^{[3
]}

Tanaka, Hiroyuki ^{[1
]}

Tejima, Tamotsu ^{[1
]}

机构：

[1] Tokyo Metropolitan Tama Med Ctr, Dept Cardiol, Fuchu, Tokyo, Japan

[2] Tokyo Metropolitan Tama Med Ctr, Dept Pathol, Fuchu, Tokyo, Japan

[3] Tokyo Metropolitan Tama Med Ctr, Dept Cardiovasc Surg, Fuchu, Tokyo, Japan

来源：

INTERNAL MEDICINE | 2018年 / 57卷 / 11期

关键词：

Takotsubo syndrome; ventricular septal perforation; heart failure; cardiac magnetic resonance; patch closure; ACUTE MYOCARDIAL-INFARCTION; TAKO-TSUBO CARDIOMYOPATHY; CLINICAL-COURSE; DYSFUNCTION; RUPTURE; STRESS; MORTALITY; OUTCOMES; ELEVATION; FEATURES;

D O I：

10.2169/internalmedicine.0014-17

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

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 septa' 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.

引用

页码：1605 / 1609

页数：5

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