Ventricular Septal Perforation in a Patient With Takotsubo Cardiomyopathy

An 84-year-old woman was admitted with anorexia and because the serum cardiac markers, electrocardiogram and echocardiography suggested acute myocardial infarction she underwent emergency cardiac catheterization. Coronary angiography revealed no significant coronary artery stenosis, but left ventric...

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Bibliographic Details
Published in:Circulation Journal 2005, Vol.69(3), pp.365-367
Main Authors: Sakai, Kenya, Ochiai, Hiroyuki, Katayama, Norihiko, Nakamura, Kenji, Arataki, Keiko, Kido, Tamako, Iwamoto, Hiroshi, Nakamura, Satoe, Nakanishi, Toshio
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Cardiomyopathies - complications
Cardiomyopathies - diagnosis
Coronary Angiography
Electrocardiography
Fatal Outcome
Female
Humans
Shock, Cardiogenic
Takotsubo cardiomyopathy
Ventricular Dysfunction, Left
Ventricular septal perforation
Ventricular Septal Rupture
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Summary:An 84-year-old woman was admitted with anorexia and because the serum cardiac markers, electrocardiogram and echocardiography suggested acute myocardial infarction she underwent emergency cardiac catheterization. Coronary angiography revealed no significant coronary artery stenosis, but left ventriculography revealed akinesis of the left ventricular apex with shunt flow to the right ventricle. The diagnosis was a rare case of takotsubo cardiomyopathy complicated by ventricular septal perforation. The patient died of cardiogenic shock on the day of admission day. (Circ J 2005; 69: 365 - 367)
ISSN:1346-9843
1347-4820
DOI:10.1253/circj.69.365