Narita Masataka, Sakakura Kenichi, Ohashi Jumpei, Ibe Tatsuro, Yamamoto Kei, Wada Hiroshi, Momomura Shin-Ichi, Fujita Hideo
Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University.
Int Heart J. 2019 Jan 25;60(1):215-219. doi: 10.1536/ihj.18-066. Epub 2018 Nov 20.
Takotsubo cardiomyopathy is a common disease, but Takotsubo cardiomyopathy complicated by ventricular septal perforation is very rare. We describe the case of a 92-year-old male who had Takotsubo cardiomyopathy complicated by ventricular septal perforation. We treated the patient medically without surgical or catheter interventions. In three weeks, his abnormal wall motion recovered completely, whereas the ventricular septal perforation remained open. He was ambulatory, subsequently discharged, and had been uneventful for one year. In this manuscript, we discuss the importance of non-invasive management for Takotsubo cardiomyopathy complicated by ventricular septal perforation.
应激性心肌病是一种常见疾病，但并发室间隔穿孔的应激性心肌病非常罕见。我们描述了一名92岁男性并发室间隔穿孔的应激性心肌病病例。我们对该患者进行了药物治疗，未进行手术或导管干预。三周内，他异常的室壁运动完全恢复，而室间隔穿孔仍未闭合。他能够走动，随后出院，并且一年来情况平稳。在本手稿中，我们讨论了对并发室间隔穿孔的应激性心肌病进行非侵入性管理的重要性。
