Surgical treatment of left ventricular wall rupture, regarded as a consequence of Takotsubo cardiomyopathy
| Autor: | Irina A. Akhmedova, Janibek Gaybildaev, Kilichbek Jooshev, Taalaibek Z. Kudaiberdiev, Ildar Abdildaev, Jamalbek Ashimov, Azamat Mirzabekov, Gulzada Imanalieva |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Cardiomyopathy Case Report reverse type 030204 cardiovascular system & hematology pericardium 03 medical and health sciences 0302 clinical medicine Text mining Internal medicine Female patient medicine Pericardium cardiovascular diseases ventricular wall rupture Surgical treatment lcsh:R5-920 business.industry General Medicine medicine.disease medicine.anatomical_structure Cardiology cardiovascular system Takotsubo cardiomyopathy business lcsh:Medicine (General) 030217 neurology & neurosurgery Left ventricular wall |
| Zdroj: | SAGE Open Medical Case Reports SAGE Open Medical Case Reports, Vol 5 (2017) |
| ISSN: | 2050-313X |
| Popis: | Objective: We present the case of possible reverse type of TCM in a female patient presented with progressive left ventricular dysfunction and its rupture in pericardium. Methods: The detailed history, physical examination, laboratory tests, electrocardiography, serial echocardiography, coronary angiography with left ventriculography were performed to diagnose possible Takotsubo cardiomyopathy in 63-year old woman admitted to our center with complaints of dyspnea, lightheadedness, weakness and signs of hypotension and history of inferior myocardial infarction, acute left ventricular aneurysm, and effusive pericarditis and pleuritis, developed after emotional stress 5 months ago. Results: Clinical evaluation revealed unremarkable laboratory tests, normal troponin values, signs of old inferior myocardial infarction on electrocardiogram, and left ventricular (LV) dilatation and dysfunction, akinesia of LV infero-lateral wall with thinning and its rupture and blood shunting in pericardium. Her coronary angiography revealed normal coronary arteries. The diagnosis of pheochromocytoma was excluded. The patient underwent surgery under cardiopulmonary bypass with removal of LV pseudoaneurysm. The patient was discharged from hospital with improvement in NYHA class and LV function. Conclusion: Thus, in female postmenopausal patients presenting with acute myocardial infarction signs complicated by pericarditis, intact coronary arteries and LV dysfunction with emotional stress as triggering factor, reverse type of TCM should be considered and proper management applied to prevent development of life-threatening complications like LV rupture. |
| Databáze: | OpenAIRE |
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