Subarachnoid haemorrhage associated with midventricular Tako-Tsubo syndrome

Int J Cardiol. 2011 Jan 21;146(2):e46-8. doi: 10.1016/j.ijcard.2009.03.079. Epub 2009 Apr 9.

Abstract

Background: A new form of Tako-Tsubo cardiomyopathy has recently been described as a midventricular localisation, opposite to the apical typical form.

Case report: We report the case of a patient who presented with a sudden cardiac death and an acute coronary syndrome. However, coronary arteries were normal and the left ventriculography showed a midventricular ballooning Tako-Tsubo syndrome associated with a hawk's beak. A cerebral CT scan revealed a massive subarachnoid haemorrhage in relation with a left sylvian aneurysm rupture leading to the death of the patient.

Conclusion: This case relates for the first time, the association of a subarachnoid haemorrhage and the recently described midventricular form of Tako-Tsubo syndrome with a hawk's beak. It is an illustration of the complexity of the relationships between brain and heart.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Acute Coronary Syndrome / diagnosis
  • Acute Coronary Syndrome / etiology*
  • Death, Sudden, Cardiac / etiology*
  • Fatal Outcome
  • Female
  • Humans
  • Middle Aged
  • Radiography
  • Subarachnoid Hemorrhage / diagnostic imaging
  • Subarachnoid Hemorrhage / etiology*
  • Takotsubo Cardiomyopathy / complications*
  • Takotsubo Cardiomyopathy / diagnosis