Ventriculoseptal Rupture Caused by Takotsubo Syndrome

Michael E Sternberg; Zachary M Gertz; Mohammed A Quader; Antonio Abbate; Cory R Trankle

doi:10.1016/j.jaccas.2020.09.018

Ventriculoseptal Rupture Caused by Takotsubo Syndrome

JACC Case Rep. 2020 Nov 4;2(13):2072-2077. doi: 10.1016/j.jaccas.2020.09.018. eCollection 2020 Nov.

Authors

Michael E Sternberg¹, Zachary M Gertz², Mohammed A Quader³, Antonio Abbate², Cory R Trankle²

Affiliations

¹ Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia.
² Division of Cardiology, Pauley Heart Center, Virginia Commonwealth University, Richmond, Virginia.
³ Division of Cardiothoracic Surgery, Pauley Heart Center, Virginia Commonwealth University, Richmond, Virginia.

Abstract

Ventriculoseptal rupture (VSR) is a rare complication of takotsubo syndrome that often requires immediate treatment. Patients with VSR experience a range of outcomes and should be managed at centers with cardiac and surgical expertise. We present 2 cases of VSR complicating takotsubo syndrome that highlight potential outcomes. (Level of Difficulty: Intermediate.).

Keywords: ED, emergency department; LVEF, left ventricular ejection fraction; TTE, transthoracic echocardiogram; TnI, troponin I; VSR, ventriculoseptal rupture; cardiomyopathy; complication; ventricular septal defect.

Publication types

Case Reports