Takotsubo Cardiomyopathy and Internal Carotid Artery Dissection in Rapid Succession.

ABSTRACT:

Background

Takotsubo cardiomyopathy (TC) frequently co-occurs with spontaneous coronary artery dissection, but its co-occurrence with extracoronary arterial dissections is rare.

Case summary

A 68-year-old woman with hypertension, hyperlipidemia, and type 2 diabetes reported lower abdominal pain and vomiting amid severe emotional distress. Within hours of admission to the hospital, she developed acute coronary syndrome and was diagnosed with TC, which was managed with dual antiplatelet therapy. Six days later, she returned with acute-onset left-sided weakness due to an internal carotid artery (ICA) dissection. She underwent thrombolysis, followed by urgent endovascular stenting, resulting in full recovery.

Discussion

This is the first report of TC and ICA dissection oc

SUBMITTER: Vega JL 

PROVIDER: S-EPMC12441557 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature