• Yonsei medical journal · Jan 2017

    Case Reports

    Rupture of Right Ventricular Free Wall Following Ventricular Septal Rupture in Takotsubo Cardiomyopathy with Right Ventricular Involvement.

    • June Min Sung, Sung Jin Hong, In Hyun Chung, Hye Young Lee, Jae Hoon Lee, Kim Hyun Jung HJ Department of Pathology, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea., Young Sup Byun, Byung Ok Kim, and Kun Joo Rhee.
    • Division of Cardiology, Department of Internal Medicine, Sanggye-Paik Hospital, Inje University College of Medicine, Seoul, Korea.
    • Yonsei Med. J. 2017 Jan 1; 58 (1): 248-251.

    AbstractMost 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.

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