Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2023 Oct 4:22:216-219.
doi: 10.1016/j.xjtc.2023.09.026. eCollection 2023 Dec.

Interventricular septal dissection with perforations following takotsubo cardiomyopathy

Hiroyuki Hara  1 , Naoki Kanemitsu  1 , Yosuke Sugita  1 , Keita Yano  1 , Shinya Takimoto  1 , Kazuo Yamanaka  2
Affiliations
Case Reports

Interventricular septal dissection with perforations following takotsubo cardiomyopathy

Hiroyuki Hara et al. JTCVS Tech. .
No abstract available

PubMed Disclaimer

Conflict of interest statement

The authors reported no conflicts of interest. The Journal policy requires editors and reviewers to disclose conflicts of interest and to decline handling or reviewing manuscripts for which they may have a conflict of interest. The editors and reviewers of this article have no conflicts of interest.

Figures

None
Ventricular septal perforation with dissection following takotsubo cardiomyopathy.
Figure 1
Figure 1
A, Contrast-enhanced CT demonstrating extensive IVSD complicated with VSP. B, Transthoracic echocardiography showing the dissection of the IVS in color Doppler indicating plural flows through the VSP, near the apex. VSP, Ventricular septal perforation; RV, right ventricle; IVSD, interventricular septal dissection; LV, left ventricle.
Figure 2
Figure 2
A, Intraoperative image of a single tear (1 cm × 1 cm) of the ventricular septal wall just under the incision (arrow). The left ventricular septum around the ostium of the dissection tract is not fragile and reveals no ischemic change. B, Postoperative echocardiography showing no shunt after VSP repair. C, Contrast-enhanced CT showing successful VSP repair. RV, Right ventricle; LV, left ventricle.
Figure E1
Figure E1
Coronary angiography of (A) the left coronary artery and (B) the right coronary artery revealing no lesions.
Figure E2
Figure E2
Left ventriculography of (A) systole and (B) diastole showing apical akinesis.
Figure E3
Figure E3
Sequence of events from the admission to postoperative death. ICU, Intensive care unit; IVSD, interventricular septal dissection; PCPS, percutaneous cardiopulmonary support; IABP, intra-aortic balloon pump.
See this image and copyright information in PMC

References

    1. Gu X., He Y., Luan S., Zhao Y., Sun L., Zhang H., et al. Dissection of the interventricular septum: echocardiographic features. Medicine. 2017;96:e6191. - PMC - PubMed
    1. Mariscalco G., Cattaneo P., Rossi A., Baravelli M., Piffaretti G., Scannapieco A., et al. Tako-tsubo cardiomyopathy complicated by ventricular septal perforation and septal dissection. Heart Vessels. 2010;25:73–75. - PubMed
    1. Isoda S., Osako M., Kimura T., Mashiko Y., Yamanaka N., Nakamura S., et al. Midterm results of the “sandwich technique” via a right ventricle incision to repair post-infarction ventricular septal defect. Ann Thorac Cardiovasc Surg. 2012;18:318–321. - PubMed
    1. Miyake K., Funatsu T., Kondoh H., Taniguchi K. Rare complication of takotsubo cardiomyopathy: ventricular septal perforation with septal dissection. J Card Surg. 2016;31:150–153. - PubMed
    1. Furui M., Sakurai Y., Kakii B., Asanuma M., Nishioka H., Yoshida T. Benefits and risks of delayed surgery for ventricular septal rupture after acute myocardial infarction. Int Heart J. 2022;63:433–440. - PubMed

Publication types

LinkOut - more resources