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[Left Ventricular Plasty for Left Ventricular Aneurysm Following Takotsubo Cardiomyopathy]

Masahide Shichijo1, Yuji Katayama, Hiroyuki Morokuma

  • 1Department of Cardiovascular Surgery, Fukuoka Tokushukai Hospital, Kasuga, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|May 31, 2023
PubMed

Insights

Takotsubo cardiomyopathy, a form of heart failure, can lead to severe left ventricular dysfunction. This case highlights successful left ventricular plasty for managing advanced takotsubo cardiomyopathy with apical aneurysm.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery

Context:

  • Takotsubo cardiomyopathy (TTC), or stress-induced cardiomyopathy, is characterized by transient left ventricular dysfunction.
  • This condition can mimic myocardial infarction but lacks obstructive coronary artery disease.

Purpose:

  • To describe a case of advanced takotsubo cardiomyopathy with left ventricular apical aneurysm and intractable heart failure.
  • To report the successful surgical management using left ventricular plasty.

Summary:

  • An 82-year-old woman presented with chest pain, diagnosed with takotsubo cardiomyopathy.
  • Despite medical management, she developed intractable heart failure and an apical aneurysm with pericardial effusion.
  • Left ventricular plasty was performed, resulting in significant reduction of ventricular volume and a favorable outcome.

Impact:

  • This case demonstrates the potential efficacy of left ventricular plasty in select patients with severe, refractory takotsubo cardiomyopathy and apical aneurysm.
  • Surgical intervention may be a viable option for managing complications of takotsubo cardiomyopathy unresponsive to medical therapy.

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