Nef Holger M, Möllmann Helge, Hilpert Pirmin, Masseli Franz, Troidl Christian, Rolf Andreas, Dill Thorsten, Skwara Woitek, Weber Michael, Hamm Christian, Elsässer A
Int J Cardiol. 2009 Feb 20;132(2):e77-9. doi: 10.1016/j.ijcard.2007.08.026. Epub 2007 Nov 28.
Severe emotional or physical stress precedes Tako-Tsubo cardiomyopathy (TTC) which is characterized by transient left ventricular impairment in absence of coronary artery disease. In this case we report from a female patient presenting with characteristic features of TTC after examination of upper gastrointestinal. Additionally, severe mitral regurgitation due to acute rupture of the posteromedial papillary muscle was present. Normal left ventricular function was documented before surgical valve repair was performed. TTC is reported to be associated with several complications. This is the first report of TTC accompanied by severe mitral valve regurgitation due to rupture of a papillary muscle.
应激性心肌病（TTC）之前常有严重的情绪或身体应激，其特征是在无冠状动脉疾病的情况下出现短暂的左心室功能障碍。在此，我们报告一例女性患者，在进行上消化道检查后出现了TTC的特征性表现。此外，还存在因后内侧乳头肌急性破裂导致的严重二尖瓣反流。在进行手术瓣膜修复之前，记录到左心室功能正常。据报道，TTC与多种并发症相关。这是首例因乳头肌破裂导致严重二尖瓣反流的TTC病例报告。
