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Case Reports
. 2022 Nov 25;101(47):e31674.
doi: 10.1097/MD.0000000000031674.

A rare case of Takotsubo syndrome with ventricular septal rupture: Case report

Hamada Alsheikh  1 , Nour Shaheen  2 , Wageih Saber  1 , Mostafa Meshref  1 , Yara Amro  3 , Ahmed Shaheen  2 , Mahmoud Galal Ahmed  4 , Sarya Swed  5
Affiliations
Case Reports

A rare case of Takotsubo syndrome with ventricular septal rupture: Case report

Hamada Alsheikh et al. Medicine (Baltimore). .

Abstract

Introduction: Takotsubo cardiomyopathy (TCM) mimics acute coronary syndrome and is characterized by reversible left ventricular (LV) apical ballooning in the absence of angiographically substantial coronary artery stenosis.

Patient concerns: A 31-year-old man with acute dejection, physical stress, and psychological strain from the dread of losing his work arrived at the emergency department with chest pain, and discomfort that had lasted 3 hours.

Diagnosis: Once the coronary angiography revealed normal epicardial coronaries, the case was retroactively diagnosed, and the levels of cardiac enzymes were increased.

Interventions: The amount of necrotic tissue was so little that the surgeon could only verbally convey it. It is completely closed with the help of a Dacron sheet. The patient received surgical closure of the VSR a few days after having a surgical consultation.

Outcomes: No postoperative echocardiogram was required, and the patient was sent home in great general condition.

Conclusion: The presence of TCM with a ruptured LV wall was extremely rare because our patient had neither clinical risk indicators nor a family history of coronary artery disease. As a Takotsubo syndrome severe complication, we underline the significance of identifying, diagnosing, and treating it.

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Conflict of interest statement

The authors have no funding and conflicts of interest to disclose.

Figures

Figure 1.
Figure 1.
Chest CT of the patient with Takotsubo syndrome.
Figure 2.
Figure 2.
Electrocardiogram (ECG) of a patient with Takotsubo cardiomyopathy (TCM) 1st and 2nd day of presentation.
Figure 3.
Figure 3.
(a, b, c, d) Coronary angiography of the patient with Takotsubo syndrome.
Figure 4.
Figure 4.
(a, b, c) Echocardiography of a patient with Takotsubo syndrome.
See this image and copyright information in PMC

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