'Broken-heart' syndrome: ventricular septal perforation in a takotsubo cardiomyopathy.
Takotsubo cardiomyopathy (TTC) is a form of acute left ventricular dysfunction usually reversible and with favorable prognosis. Ventricular septal perforation (VSP) is a very rare life-threatening complication. Percutaneous closure of VSP, despite being challenging, is a possible alternative to surgical repair. We present the first case of an 84-year-old patient with a TTC-related VSP treated by percutaneous approach. The case highlights the need of reconsidering the worldwide accepted consideration of TTC as benignant and allows some speculations on the optimal management of VSP in terms of timing, patient selection and possible alternative interventions.
Unità Operativa Cardiologia Universitaria, Azienda Ospedaliero-Universitaria Policlinico di Bari, Bari, Italy.
Martino
M
Pepe
Unità Operativa Cardiologia Universitaria, Azienda Ospedaliero-Universitaria Policlinico di Bari, Bari, Italy.
Valeria
V
Paradies
Unità Operativa Cardiochirurgia Universitaria, Azienda Ospedaliero-Universitaria Policlinico di Bari, Bari, Italy.
Alessandro
A
Bortone
Unità Operativa Cardiochirurgia Universitaria, Azienda Ospedaliero-Universitaria Policlinico di Bari, Bari, Italy.
Emanuela
E
De Cillis
Unità Operativa Cardiologia Universitaria, Azienda Ospedaliero-Universitaria Policlinico di Bari, Bari, Italy.
Alessandro
A
Cafaro
Unità Operativa Cardiochirurgia Universitaria, Azienda Ospedaliero-Universitaria Policlinico di Bari, Bari, Italy.
Tommaso
T
Acquaviva
Unità Operativa Cardiologia Universitaria, Azienda Ospedaliero-Universitaria Policlinico di Bari, Bari, Italy.
Filippo
F
Masi
Unità Operativa Cardiologia Universitaria, Azienda Ospedaliero-Universitaria Policlinico di Bari, Bari, Italy.
Donato
D
Quagliara
Unità Operativa Cardiologia Universitaria, Azienda Ospedaliero-Universitaria Policlinico di Bari, Bari, Italy.
Stefano
S
Favale
D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D011379:Prognosis; D012770:Shock, Cardiogenic / Q000209:etiology; D054549:Takotsubo Cardiomyopathy / Q000150:complications*; D018658:Ventricular Septal Rupture / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*
cardiogenic shock; hemodynamics; interventional cardiology; structural heart disease