title: Tako-tsubo cardiomyopathy complicated by ventricular septal perforation and septal dissection.
abstract: Tako-tsubo cardiomyopathy is a form of reversible left ventricular dysfunction, with a clinical and electrocardiographic picture of acute myocardial infarction in the absence of significant coronary disease. The precise clinical features and etiologic basis of this syndrome remain unclear, although an association with emotional or stressful triggers has been recognized. We describe the first case of this syndrome complicated with a ventricular septal perforation and dissection.
authors.affiliation: Department of Surgical Sciences, Cardiac and Vascular Surgery Unit, Varese University Hospital, University of Insubria, I-21100 Varese, Italy. giovannimariscalco@yahoo.it
authors.forename: Giovanni
authors.initials: G
authors.lastname: Mariscalco
authors.forename: Paolo
authors.initials: P
authors.lastname: Cattaneo
authors.forename: Andrea
authors.initials: A
authors.lastname: Rossi
authors.forename: Massimo
authors.initials: M
authors.lastname: Baravelli
authors.forename: Gabriele
authors.initials: G
authors.lastname: Piffaretti
authors.forename: Antonio
authors.initials: A
authors.lastname: Scannapieco
authors.forename: Daniele
authors.initials: D
authors.lastname: Nassiacos
authors.forename: Andrea
authors.initials: A
authors.lastname: Sala
mesh_terms: D000368:Aged; D006348:Cardiac Surgical Procedures; D017023:Coronary Angiography; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D005260:Female; D006801:Humans; D054549:Takotsubo Cardiomyopathy / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D016896:Treatment Outcome; D018658:Ventricular Septal Rupture / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery