Takotsubo Cardiomyopathy and Internal Carotid Artery Dissection in Rapid Succession

Jose L Vega1, Jasrai Gill2, Kyle Wiseman3

  • 1Teleneurología SAS, Envigado, Colombia; Hackensack Meridian Health, Southern Ocean Medical Center, Stafford, New Jersey, USA.

JACC. Case Reports
|July 25, 2025
PubMed

Insights

This case report details a rare instance of Takotsubo cardiomyopathy (TC) and internal carotid artery (ICA) dissection occurring together. The rapid succession suggests a potential shared trigger for these cardiovascular and cerebrovascular events.

Area of Science:

  • Cardiology
  • Neurology
  • Vascular Medicine

Background:

  • Takotsubo cardiomyopathy (TC) is often linked with spontaneous coronary artery dissection.
  • Extracoronary arterial dissections are rarely reported in conjunction with TC.

Observation:

  • A 68-year-old woman presented with symptoms of TC following severe emotional distress.
  • She later developed an internal carotid artery (ICA) dissection six days after initial TC diagnosis and management.

Findings:

  • This is the first reported case of TC and ICA dissection occurring in rapid succession.
  • The temporal proximity suggests a possible shared pathophysiological mechanism.

Implications:

  • TC may be associated with extracardiac arterial dissections, not just cardiac ones.
  • Investigating potential shared triggers for TC and arterial dissections is warranted.
Abstract

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