A Rare Case of Takotsubo Syndrome Led to Intra-Myocardial Dissection and Left Ventricular Apical Aneurysm

A Rare Case of Takotsubo Syndrome Led to Intra-Myocardial Dissection and Left Ventricular Apical Aneurysm Publisher

Zavar R¹ ; Vakhshoori M² ; Mirmohammadsadeghi M³ ; Hashemijazi M⁴

Show Affiliations

1. Cardiac Rehabilitation Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
2. Heart Failure Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
3. Isfahan Cardiovascular Research Center, Cardiovascular Research Institute, Isfahan University of Medical Sciences, Isfahan, Iran
4. Interventional Cardiology Research Center, Cardiovascular Research Institute, Isfahan University of Medicine Sciences, Isfahan, Iran

Source: ARYA Atherosclerosis Published:2019

Abstract

BACKGROUND: Takotsubo syndrome (TS) is a reversible left ventricular (LV) systolic dysfunction occurred mostly in post-menopausal women after an emotional or physical stress. The exact mechanism has yet to be found. In clinical settings, TS should be differentiated from myocardial infarction (MI) due to totally different management protocols. Several diagnostic criteria are available, but mayo clinic criteria is the most widely used. Prognosis of TS is favorable and the recurrence and mortality rates are low. Treatment is mostly supportive and after a few weeks, most of patients’ electrocardiography (ECG) and echocardiographic findings will be normalized, though to its benign course, TS can cause some complications. Intra-myocardial dissection and LV apical aneurysm, as a complication of TS has never been reported yet and was just announced in rare cases of MI. CASE REPORT: Our patient was a 32-year-old aphasic woman referring with palpitation and chest discomfort. Further examinations after exclusion of MI revealed TS leading to LV apical aneurysm and intra-myocardial dissection. CONCLUSION: Intra-myocardial dissection should be considered as one of the rarest TS complications. Several studies are necessary for defining the exact pathophysiological mechanisms. © 2019, Isfahan University of Medical Sciences(IUMS). All rights reserved.

Related Docs

View other Related Docs

1. A Syndrome That Mimicking Acute Myocardial Infarction: A Case Report, Journal of Isfahan Medical School (2011)

2. Takotsubo Cardiomyopathy or Broken Heart Syndrome: A Review Article, Journal of Research in Medical Sciences (2011)

3. Transcatheter Ventricular Septal Rupture Closure: A Challenging Case of Basal Inferoseptal Aneurysm and Rupture; [Transkateter Ventrikuler Septal Ruptur Kapanmasi: Zorlu Bir Bazal Inferoseptal Anevrizma Ve Ruptur Olgusu], Turk Kardiyoloji Dernegi Arsivi (2021)

4. Myocardial Infarction Without Coronary Artery Occlusion Following Mental Stress, Journal of Research in Medical Sciences (2021)

5. Tachycardia-Induced Cardiomyopathy, ARYA Atherosclerosis (2014)

6. A Review of the Interplay Between Takotsubo Cardiomyopathy and Adrenal Insufficiency: Catecholamine Surge and Glucocorticoid Deficiency, Progress in Cardiovascular Diseases (2024)

7. Complete Heart Block in a Patient With Poems Syndrome: A Case Report, ARYA Atherosclerosis (2014)

8. Five Chambered Heart or Large Atrial Appendage Aneurysm: A Report of Two Cases, ARYA Atherosclerosis (2013)

Experts (# of related papers)

View all Related Experts

Nizal Sarrafzadegan (2)

Reyhaneh Zavar (1)

Style	Citing Format
MLA	Zavar R, et al.. "A Rare Case of Takotsubo Syndrome Led to Intra-Myocardial Dissection and Left Ventricular Apical Aneurysm." ARYA Atherosclerosis, vol. 15, no. 1, 2019, pp. 33-37.
APA	Zavar R, Vakhshoori M, Mirmohammadsadeghi M, Hashemijazi M (2019). A Rare Case of Takotsubo Syndrome Led to Intra-Myocardial Dissection and Left Ventricular Apical Aneurysm. ARYA Atherosclerosis, 15(1), 33-37.
Chicago	Zavar R, Vakhshoori M, Mirmohammadsadeghi M, Hashemijazi M. "A Rare Case of Takotsubo Syndrome Led to Intra-Myocardial Dissection and Left Ventricular Apical Aneurysm." ARYA Atherosclerosis 15, no. 1 (2019): 33-37.
Harvard	Zavar R et al. (2019) 'A Rare Case of Takotsubo Syndrome Led to Intra-Myocardial Dissection and Left Ventricular Apical Aneurysm', ARYA Atherosclerosis, 15(1), pp. 33-37.
Vancouver	Zavar R, Vakhshoori M, Mirmohammadsadeghi M, Hashemijazi M. A Rare Case of Takotsubo Syndrome Led to Intra-Myocardial Dissection and Left Ventricular Apical Aneurysm. ARYA Atherosclerosis. 2019;15(1):33-37.
BibTex	@article{ author = {Zavar R and Vakhshoori M and Mirmohammadsadeghi M and Hashemijazi M}, title = {A Rare Case of Takotsubo Syndrome Led to Intra-Myocardial Dissection and Left Ventricular Apical Aneurysm}, journal = {ARYA Atherosclerosis}, volume = {15}, number = {1}, pages = {33-37}, year = {2019} }
RIS	TY - JOUR AU - Zavar R AU - Vakhshoori M AU - Mirmohammadsadeghi M AU - Hashemijazi M TI - A Rare Case of Takotsubo Syndrome Led to Intra-Myocardial Dissection and Left Ventricular Apical Aneurysm JO - ARYA Atherosclerosis VL - 15 IS - 1 SP - 33 EP - 37 PY - 2019 ER -

Science Communicator Platform

Authors

Authors Affiliations

Abstract