Takotsubo Cardiomyopathy-Induced Cardiac Free Wall Rupture: A Case Report and Review of Literature
| Autor: | Fady Iskander, Mina Iskander, Kerolus Shehata, Ashraf Abugroun, Ayman Iskander |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Cardiomyopathy Autopsy Case Report 030204 cardiovascular system & hematology Pericardial effusion 03 medical and health sciences 0302 clinical medicine Internal medicine medicine 030212 general & internal medicine Papillary muscle Takotsubo business.industry Cardiogenic shock Cardiac Rupture Clinical course Ventricular wall rupture medicine.disease medicine.anatomical_structure Cardiology cardiovascular system Cardiac Free Wall Rupture Cardiology and Cardiovascular Medicine business |
| Zdroj: | Cardiology Research |
| ISSN: | 1923-2837 1923-2829 |
| Popis: | Takotsubo cardiomyopathy (TCM) is an acquired form of cardiomyopathy that is commonly seen among post-menopausal women. It is characterized by left ventricular apical ballooning, electrocardiographic changes and mild elevation of cardiac enzymes in the absence of significant coronary artery stenosis. TCM usually has benign course. However, on rare instance, it can result in life-threatening and fatal complications including acute cardiogenic shock, ventricular arrhythmias and ventricular wall rupture. We herein report a case of a 77-year-old female who developed TCM complicated with massive pericardial effusion and cardiac arrest. The patient died and autopsy revealed normal coronaries with a slit-like rupture on the antero-apical surface of the heart extending into the papillary muscle. The clinical course, labs and angiographic findings preceding the cardiac rupture will be outlined. A thorough literature review including review of 14 previously reported case reports of TCM complicated with cardiac rupture will be included. |
| Databáze: | OpenAIRE |
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