Stress-Induced Cardiomyopathy Complicated by Dynamic Left Ventricular Outflow Obstruction, Cardiogenic Shock, and Ventricular Septal Rupture

Kristy T Webster; Teimuraz Apridonidze; Prashanth R Mopala; Ariel E Sherman; Lakshmi N Potakamuri; Daniel R Storms; Alan T Kono; Bibhu D Mohanty

doi:10.1016/j.cjca.2018.12.005

Stress-Induced Cardiomyopathy Complicated by Dynamic Left Ventricular Outflow Obstruction, Cardiogenic Shock, and Ventricular Septal Rupture

Can J Cardiol. 2019 Feb;35(2):229.e7-229.e9. doi: 10.1016/j.cjca.2018.12.005. Epub 2018 Dec 7.

Authors

Kristy T Webster¹, Teimuraz Apridonidze², Prashanth R Mopala³, Ariel E Sherman⁴, Lakshmi N Potakamuri⁵, Daniel R Storms¹, Alan T Kono¹, Bibhu D Mohanty⁶

Affiliations

¹ Section of Cardiovascular Medicine, Heart and Vascular Center, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA.
² New England Heart and Vascular Institute, Catholic Medical Center, Manchester, New Hampshire, USA.
³ Heart and Vascular Center, MetroHealth Medical Center/Case Western Reserve University, Cleveland, Ohio, USA.
⁴ Stritch School of Medicine, Loyola University, Maywood, Illinois, USA.
⁵ Aultman Hospital, North East Ohio Medical University, Canton, Ohio, USA.
⁶ Department of Cardiovascular Sciences, University of South Florida, Morsani College of Medicine, Tampa, Florida, USA. Electronic address: [email protected].

PMID: 30760435
DOI: 10.1016/j.cjca.2018.12.005

Abstract

We describe the case of a 68-year-old woman presenting with stress cardiomyopathy (SCM), with concomitant cardiogenic shock, left ventricular outflow tract obstruction, and ventricular septal rupture. These complications have not simultaneously been reported in a single SCM case. The importance of early diagnosis of serial complications of SCM and using mechanical circulatory support as a treatment strategy are highlighted.

Publication types

Case Reports

MeSH terms

Aged
Echocardiography, Doppler, Color
Fatal Outcome
Female
Humans
Shock, Cardiogenic / diagnosis
Shock, Cardiogenic / etiology*
Takotsubo Cardiomyopathy / complications*
Takotsubo Cardiomyopathy / diagnosis
Ventricular Outflow Obstruction / diagnosis
Ventricular Outflow Obstruction / etiology*
Ventricular Septal Rupture / diagnosis
Ventricular Septal Rupture / etiology*