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Surgical treatment of left ventricular wall rupture, regarded as a consequence of Takotsubo cardiomyopathy

Taalaibek Kudaiberdiev1, Irina Akhmedova1, Gulzada Imanalieva1

  • 1Scientific Research Institute of Heart Surgery and Organ Transplantation, Bishkek, Kyrgyzstan.

SAGE Open Medical Case Reports
|February 24, 2017
PubMed

Insights

This case study highlights reverse Takotsubo cardiomyopathy (TCM) in a woman with left ventricular rupture. Prompt diagnosis and surgical intervention were crucial for recovery and preventing fatal complications.

Area of Science:

  • Cardiology
  • Cardiovascular Medicine

Background:

  • Takotsubo cardiomyopathy (TCM) is a form of non-ischemic cardiomyopathy.
  • Reverse TCM presents atypically with basal or mid-ventricular stunning.

Observation:

  • A 63-year-old woman presented with symptoms mimicking myocardial infarction following emotional stress.
  • She had a history of myocardial infarction, left ventricular aneurysm, pericarditis, and pleuritis.
  • Investigations revealed left ventricular dysfunction, thinning, and rupture into the pericardium, with normal coronary arteries.

Findings:

  • The patient was diagnosed with reverse type of TCM complicated by left ventricular rupture.
  • Coronary angiography showed no obstructive coronary artery disease.
  • Surgical removal of the left ventricular pseudoaneurysm led to clinical improvement.

Implications:

  • Reverse TCM should be considered in postmenopausal women presenting with myocardial infarction-like symptoms, pericarditis, and LV dysfunction.
  • Early recognition and management are vital to prevent life-threatening complications such as left ventricular rupture.
Abstract

Keywords:
Takotsubo cardiomyopathypericardiumreverse typeventricular wall rupture

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