title: Rupture of Right Ventricular Free Wall Following Ventricular Septal Rupture in Takotsubo Cardiomyopathy with Right Ventricular Involvement.
abstract: 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.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: June Min
authors.initials: JM
authors.lastname: Sung
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea. sjhong@paik.ac.kr.
authors.forename: Sung Jin
authors.initials: SJ
authors.lastname: Hong
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: In Hyun
authors.initials: IH
authors.lastname: Chung
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: Hye Young
authors.initials: HY
authors.lastname: Lee
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: Jae Hoon
authors.initials: JH
authors.lastname: Lee
authors.affiliation: Department of Pathology, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: Hyun Jung
authors.initials: HJ
authors.lastname: Kim
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: Young Sup
authors.initials: YS
authors.lastname: Byun
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: Byung Ok
authors.initials: BO
authors.lastname: Kim
authors.affiliation: Division of Cardiology, Department of Internal Medicine, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea.
authors.forename: Kun Joo
authors.initials: KJ
authors.lastname: Rhee
mesh_terms: D000208:Acute Disease; D000368:Aged; D005260:Female; D006352:Heart Ventricles / Q000293:injuries; D006801:Humans; D011379:Prognosis; D054549:Takotsubo Cardiomyopathy / Q000150:complications*; D018658:Ventricular Septal Rupture / Q000209:etiology*
keywords: Takotsubo cardiomyopathy; complication; heart rupture