Fulminant Takotsubo syndrome with cardiogenic shock and mitral-edge-to-edge repair in new severe secondary mitral valve regurgitation after elective implantation of a cardiac resynchronization therapy: a case report.

ABSTRACT:

Background

Takotsubo syndrome is a cardiac disease typically characterized by transient ventricular dysfunction. Although long considered benign due to the often reversible course, severe cases, including cardiogenic shock, may occur partially due to cardiac complications, such as severe secondary mitral regurgitation.

Case summary

An 81-year-old female patient presented for the elective implantation of cardiac resynchronization therapy (CRT) in preparation of a His-ablation for therapy-refractory, highly symptomatic, paroxysmal atrial fibrillation. Postoperatively, she developed increasing haemodynamic instability, progressing to cardiogenic shock. Echocardiography ruled out pericardial effusion but showed newly developed, significantly reduced left ventricular function as

SUBMITTER: Steinhoff P 

PROVIDER: S-EPMC12287914 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature