title: Takotsubo Cardiomyopathy in an Adult Woman With Repaired Tetralogy of Fallot.
abstract: Takotsubo cardiomyopathy is a reversible form of cardiomyopathy rarely reported in the adult congenital patient. We describe a case of a 49-year-old woman with repaired tetralogy of Fallot who presented with acute dyspnea. A 12-lead electrocardiogram revealed diffuse anterolateral T-wave inversion suggestive of myocardial ischemia. Cardiac catheterization was performed, demonstrating angiographically normal coronary arteries. A cardiovascular magnetic resonance examination showed apical akinesis with associated myocardial edema, but no myocardial damage on late gadolinium enhancement imaging, which is a characteristic of Takotsubo cardiomyopathy. The patient was treated medically. A follow-up echocardiogram demonstrated normalization of left ventricular systolic function and apical wall motion abnormalities.
authors.affiliation: Department of Cardiovascular Medicine, University of Pittsburgh, Pittsburgh, PA, USA.
authors.forename: Lan T
authors.initials: LT
authors.lastname: Nguyen
authors.affiliation: Cardiovascular Magnetic Resonance Center, Heart and Vascular Institute, University of Pittsburgh, Pittsburgh, PA, USA.
authors.forename: Erik B
authors.initials: EB
authors.lastname: Schelbert
authors.affiliation: Adult Congenital Heart Disease Center, Heart Institute, Children's Hospital of Pittsburgh of UPMC, Pittsburgh, PA, USA stephen.cook@chp.edu.
authors.forename: Stephen C
authors.initials: SC
authors.lastname: Cook
mesh_terms: D005260:Female; D006801:Humans; D008875:Middle Aged; D009206:Myocardium / Q000473:pathology; D054549:Takotsubo Cardiomyopathy / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000503:physiopathology; D013771:Tetralogy of Fallot / Q000601:surgery*; D016277:Ventricular Function, Left
keywords: Takotsubo cardiomyopathy; adult; congenital heart disease; magnetic resonance imaging (MRI); tetralogy of Fallot