Ventricular Septal Perforation in a Patient With Takotsubo Cardiomyopathy

Kenya Sakai; Hiroyuki Ochiai; Norihiko Katayama; Kenji Nakamura; Keiko Arataki; Tamako Kido; Hiroshi Iwamoto; Satoe Nakamura; Toshio Nakanishi

doi:10.1253/circj.69.365

Case Report

Ventricular Septal Perforation in a Patient With Takotsubo Cardiomyopathy

Kenya Sakai, Hiroyuki Ochiai, Norihiko Katayama, Kenji Nakamura, Keiko Arataki, Tamako Kido, Hiroshi Iwamoto, Satoe Nakamura, Toshio Nakanishi

Author information

Kenya Sakai
Department of Internal Medicine, Kure City Medical Association Hospital
Hiroyuki Ochiai
Department of Internal Medicine, Kure City Medical Association Hospital
Norihiko Katayama
Department of Internal Medicine, Kure City Medical Association Hospital
Kenji Nakamura
Department of Internal Medicine, Kure City Medical Association Hospital
Keiko Arataki
Department of Internal Medicine, Kure City Medical Association Hospital
Tamako Kido
Department of Internal Medicine, Kure City Medical Association Hospital
Hiroshi Iwamoto
Department of Internal Medicine, Kure City Medical Association Hospital
Satoe Nakamura
Department of Internal Medicine, Kure City Medical Association Hospital
Toshio Nakanishi
Department of Internal Medicine, Kure City Medical Association Hospital

Keywords: Takotsubo cardiomyopathy, Ventricular septal perforation

JOURNAL FREE ACCESS

2005 Volume 69 Issue 3 Pages 365-367

DOI https://doi.org/10.1253/circj.69.365

Details

Abstract

An 84-year-old woman was admitted with anorexia and because the serum cardiac markers, electrocardiogram and echocardiography suggested acute myocardial infarction she underwent emergency cardiac catheterization. Coronary angiography revealed no significant coronary artery stenosis, but left ventriculography revealed akinesis of the left ventricular apex with shunt flow to the right ventricle. The diagnosis was a rare case of takotsubo cardiomyopathy complicated by ventricular septal perforation. The patient died of cardiogenic shock on the day of admission day. (Circ J 2005; 69: 365 - 367)

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