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Ventricular Septal Defect from Takotsubo Syndrome
Daniel Y Lu1, Julie Caplow1, Neha Quatromoni1
1Department of Internal Medicine, Hospital of the University of Pennsylvania, Philadelphia, PA 19104, USA.
Case Reports in Cardiology
|August 27, 2016
Summary
Takotsubo Syndrome, a heart condition, can rarely cause serious complications. This case highlights an acute ventricular septal defect as a rare complication of Takotsubo Syndrome in an elderly woman.
Area of Science:
- Cardiology
- Cardiovascular Medicine
- Internal Medicine
Background:
- Takotsubo Syndrome (TTS) is a transient cardiac condition.
- It involves left ventricular systolic dysfunction with apical akinesis/dyskinesis and ballooning.
- While generally having an excellent prognosis, rare severe complications can arise.
Purpose of the Study:
- To report a rare case of acute ventricular septal defect (VSD).
- To illustrate VSD as a complication of Takotsubo Syndrome.
- To highlight atypical presentations of TTS.
Main Methods:
- Case report presentation.
- Review of clinical presentation, diagnostic findings, and management.
- Discussion of the pathophysiology linking TTS and VSD.
Main Results:
- A 71-year-old woman presented with acute decompensated heart failure.
- Initial findings mimicked myocardial infarction.
- The patient was diagnosed with an acute ventricular septal defect secondary to Takotsubo Syndrome.
Conclusions:
- Takotsubo Syndrome can lead to life-threatening complications like VSD.
- Early recognition and appropriate management are crucial.
- This case expands the spectrum of known TTS complications.
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