Takotsubo syndrome complicated by left ventricular thrombus and free wall rupture leading to cardiac arrest: a case report of successful life-saving surgical treatment.

ABSTRACT:

Background

Takotsubo syndrome (TTS) is a stress-induced cardiomyopathy that causes transient left ventricular dysfunction. Although generally considered benign, TTS occasionally leads to serious complications such as cardiac rupture or left ventricular thrombus, both of which carry significant risks.

Case summary

A 69-year-old woman presented to our hospital with dyspnoea after physical and emotional stress. Based on the findings of ST-segment elevation on an electrocardiogram and wall motion abnormality of the left ventricular apex on echocardiography, an acute coronary syndrome was suspected. Emergency coronary angiography showed no significant stenosis in the coronary artery, but left ventriculography showed typical apical ballooning, consistent with TTS. Anticoagulation

SUBMITTER: Morisue C 

PROVIDER: S-EPMC12677205 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature