Echocardiographic Evolution of PosteroLateral Left Ventricular Aneurysm with Normal Coronary Arteries in Patient Recently COVID-19 Vaccinated: A Complicated Atypical Case of Takotsubo Syndrome Vaccine-related?

J Cardiovasc Echogr. 2022 Jul-Sep;32(3):177-179. doi: 10.4103/jcecho.jcecho_27_22. Epub 2022 Nov 16.

Abstract

A 72-year-old woman, recently COVID-19 vaccinated with a third dose, was referred to our center for acute chest pain and dyspnea. On admission, the electrocardiography showed a STEMI on inferior derivations and the dyskinesia of the inferior wall was found at the first transthoracic echocardiogram. The coronary angiography did not show coronary artery disease. After 1 week, a huge posterolateral left ventricular (LV) aneurysm with initial signs of rupture was found and the patient underwent a Dor's procedure to exclude the LV aneurysm. As far as we know, this is the first reported case of Takotsubo following the COVID-19 vaccination requiring cardiac surgery.

Keywords: COVID-19 vaccination; Takotsubo Syndrome; left ventricular aneurysm; myocardial infarction with nonobstructive coronary artery.

Publication types

  • Case Reports