Left Ventricular Rupture Associated With Takotsubo Cardiomyopathy

Akashi, Yoshihiro; Tejima, Tamotsu; Sakurada, Harumizu; Matsuda, Hisao; Suzuki, Kazuhiro; Kawasaki, K.; Tsuchiya, Katsuhiko; Hashimoto, Nobuyuki; Musha, Haruki; Sakakibara, Masayoshi; Nakazawa, Kiyoshi; Miyake, Fumihiko

doi:10.1016/s0025-6196(11)62638-4

Cited by 120 publications

(60 citation statements)

References 20 publications

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“…However, recently, Fazio et al [2] have reported the deaths of three patients within the first 24 h from acute heart failure in a collection of 40 patients with TTS, enrolled in a multicenter international study. Previous cases have been described with low-output syndrome requiring circulatory support [2] and some deaths due to LV free wall rupture [3][4][5]. Other authors, in a previous case of TTS, showed inflammatory infiltrates and myocyte necrosis at the LV free wall rupture site.…”

Section: Discussionmentioning

confidence: 96%

A “Bad” case of Tako–Tsubo syndrome

Ieva

Correale

2008

J Thromb Thrombolysis

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The prognosis of Tako-Tsubo syndrome (TTS) is believed to be favorable. In most of the cases, there is a complete recovery of left ventricular (LV) function and of symptoms, but previous cases have been described with low-output syndrome, deaths within the first 24 h from acute heart failure, and some deaths due to LV free wall rupture. We describe a case of a patient with TTS who died after right ventricular (RV) free wall rupture. Furthermore, this report suggests that cardiac magnetic resonance imaging with echocardiography might be a useful integrated imaging diagnostic tool for the diagnosis of TTS, ruling out acute coronary syndrome.

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Section: Discussionmentioning

confidence: 96%

A “Bad” case of Tako–Tsubo syndrome

Ieva

Correale

2008

J Thromb Thrombolysis

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“…In the remaining 28 patients, pathological ECG findings, LV dysfunction and wall abnormalities had completely resolved, confirming the reversible nature of the syndrome. According to the literature, regression of the wall-motion abnormalities can be expected after 5-40 days and normalization of the ECG after 7-191 days [22][23][24].…”

Section: Discussionmentioning

confidence: 99%

Tako-Tsubo syndrome: an important differential diagnosis in patients with acute chest pain

Primetshofer

Agladze

Krätzer

et al. 2010

Wien Klin Wochenschr

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Patients with TTC display clinical symptoms and electrocardiographic findings that mimic acute myocardial infarction. A history of a preceding stressful event in elderly women, typical echocardiographic findings of TTC, and only a mild elevation of cardiac markers will be informative. Acute-coronary angiography should be performed in order to rule out acute coronary occlusion and to avoid inadequate treatment such as thrombolysis.

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“…4 However, pulmonary edema or signifi cant left-sided heart failure during the acute phase was reported in 3%-46% of patients; some required insertion of an intraaortic balloon pump, and free wall rupture was reported in one case. 9 Although the precise mechanism of this syndrome remains unknown, exaggerated sympathetic stimulation is reported to be the cause. 10 At admission, our patient was worried about troubles in her family.…”

Section: Discussionmentioning

confidence: 99%

Fulminant apical ballooning syndrome after replacement of a prosthetic aortic valve

Ohata

Ueda

Kamata

et al. 2009

Gen Thorac Cardiovasc Surg

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A 70-year-old woman was readmitted to our hospital with a fever of 39 degrees C on the 30th day after replacement of a prosthetic aortic valve. She required percutaneous cardiopulmonary support for her heart failure and was weaned after 7 days. Echocardiography revealed an akinetic and aneurysmally dilated left ventricular apex and hyperdynamic basal segments. This case indicates that fulminant apical ballooning syndrome might be added to the list of potential complications after cardiac surgery.

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Left Ventricular Rupture Associated With Takotsubo Cardiomyopathy

Cited by 120 publications

References 20 publications

A “Bad” case of Tako–Tsubo syndrome

A “Bad” case of Tako–Tsubo syndrome

Tako-Tsubo syndrome: an important differential diagnosis in patients with acute chest pain

Fulminant apical ballooning syndrome after replacement of a prosthetic aortic valve

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