Rupture of Right Ventricular Free Wall Following Ventricular Septal Rupture in Takotsubo Cardiomyopathy with Right Ventricular Involvement

• Published in: Yonsei medical journal Vol. 58; no. 1; pp. 248 - 251
• Main Authors: Sung, June Min, Hong, Sung Jin, Chung, In Hyun, Lee, Hye Young, Lee, Jae Hoon, Kim, Hyun Jung, Byun, Young Sup, Kim, Byung Ok, Rhee, Kun Joo
• Format: Journal Article
• Language: English
• Published: Korea (South) Yonsei University College of Medicine 01.01.2017; 연세대학교의과대학
• Subjects: Acute Disease; Aged; Case Report; Female; Heart Ventricles - injuries; Humans; Prognosis; Takotsubo Cardiomyopathy - complications; Ventricular Septal Rupture - etiology; 의학일반; heart rupture; complication; Takotsubo cardiomyopathy
• ISSN: 0513-5796; 1976-2437
• DOI: 10.3349/ymj.2017.58.1.248

Most patients diagnosed with takotsubo cardiomyopathies are expected to almost completely recover, and their prognosis is excellent. However, complications can occur in the acute phase. We present a case of a woman with takotsubo cardiomyopathy with right ventricular involvement who developed a rupture of the right ventricular free wall following ventricular septal rupture, as a consequence of an acute increase in right ventricular afterload by left-to-right shunt. Our case report illustrates that takotsubo cardiomyopathy can be life threatening in the acute phase. Ventricular septal rupture in biventricular takotsubo cardiomyopathy may be a harbinger of cardiac tamponade by right ventricular rupture.