Takotsubo cardiomyopathy with concurrent multivessel obstructive coronary artery disease: proposition for a new clinical entity and first case surgical experience
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Updated: May 27, 2026

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Published on: September 9, 2020
Jack A T C Parker1, Andrea L Amerini, Rüdiger Autschbach
1Department of Cardiothoracic and Vascular Surgery, University Hospital of RWTH Aachen, Aachen, Germany. jparker@ukaachen.de
Insights
Takotsubo cardiomyopathy (TCM) can occur with obstructive coronary artery disease (OCAD). This rare presentation suggests OCAD should not exclude TCM diagnosis, offering new insights for patient care.
Area of Science:
- Cardiology
- Cardiovascular Medicine
Background:
- Takotsubo cardiomyopathy (TCM) is a form of reversible heart muscle dysfunction.
- Obstructive coronary artery disease (OCAD) is a common condition affecting the heart's arteries.
Observation:
- This report details a rare case where a patient presented with both TCM and OCAD.
- The patient underwent surgical intervention, marking the first documented surgical experience for this concurrent condition.
Findings:
- The findings suggest that TCM and OCAD can coexist in the same patient.
- The presence of OCAD should not be considered an absolute exclusion criterion for diagnosing TCM.
Implications:
- This case broadens the diagnostic criteria for TCM.
- It highlights the importance of considering concurrent pathologies in complex cardiac cases.
- Further research may explore the mechanisms and management of coexisting TCM and OCAD.
Abstract:
We present a seldom seen case of Takotsubo cardiomyopathy (TCM) with concurrent obstructive coronary artery disease (OCAD) and its first case surgical experience. We propose that TCM and OCAD can coexist and that the presence of OCAD should not be an exclusion criterion for the diagnosis of TCM.
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