title: Ventricular septal perforation in a patient with takotsubo cardiomyopathy.
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.
authors.affiliation: Department of Internal Medicine, Kure City Medical Association Hospital, Japan.
authors.forename: Kenya
authors.initials: K
authors.lastname: Sakai
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Ochiai
authors.forename: Norihiko
authors.initials: N
authors.lastname: Katayama
authors.forename: Kenji
authors.initials: K
authors.lastname: Nakamura
authors.forename: Keiko
authors.initials: K
authors.lastname: Arataki
authors.forename: Tamako
authors.initials: T
authors.lastname: Kido
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Iwamoto
authors.forename: Satoe
authors.initials: S
authors.lastname: Nakamura
authors.forename: Toshio
authors.initials: T
authors.lastname: Nakanishi
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D009202:Cardiomyopathies / Q000150:complications* / Q000175:diagnosis*; D017023:Coronary Angiography; D004562:Electrocardiography; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D012770:Shock, Cardiogenic; D018487:Ventricular Dysfunction, Left; D018658:Ventricular Septal Rupture