Abstract

Ventricular septal perforation is a well-known complication following acute myocardial infarction, but it rarely complicates takotsubo cardiomyopathy. A 76-year-old woman, who had dyspnea, had been admitted for takotsubo cardiomyopathy. Systolic murmur that was loudest at the apex was heard. Transthoracic echocardiography revealed shunt flow from the left ventricle to the right ventricle. Ventricular septal perforation following takotsubo cardiomyopathy was diagnosed. Intra-aortic balloon pumping was immediately started. We successfully performed patch repair. Takotsubo cardiomyopathy complicated by ventricular septal perforation is a rare and critical condition that requires optimal treatment and careful monitoring.

Keywords: Takotsubo Cardiomyopathy; Ventricular Septal Perforation; cardiacarrest; myocardialinfarction