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Tako-Tsubo Cardiomyopathy Triggered by Misdirection
Ziad Dahdouh,Julien Wain-Hobson,Vincent Roule,Houaida Dahdouh,Fabien Labombarda,Tony Abdel-Massih,Antoine Sarkis,Gilles Grollier 대한심장학회 2011 Korean Circulation Journal Vol.41 No.8
Tako-Tsubo cardiomyopathy (TTC), also known as transient left ventricular apical ballooning syndrome or stress-induced cardiomyopathy, is a novel reversible cardiomyopathy mimicking acute myocardial infarction without epicardial coronary artery disease. The exact physiopathology of TTC remains unclear. It is usually precipitated by acute physical or emotional stress and it most commonly affects postmenopausal women. The growing number of clinical cases of TTC have demonstrated a wide field of possible etiologies beyond the emotional stress. We report a case of a 67-year-old postmenopausal woman who was being supplemented by enteral feeding via a nasogastric tube and who developed TTC due to misdirection, probably favored by the mechanical blockade by the nasogastric tube, while swallowing the drug pills.
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Ziad Dahdouh,Vincent Roule,Thérèse Lognoné,Rémi Sabatier,Mathieu Bignon,Guillaume Malcor,Adrien Lemaitre,Katrien Blanchart,Julien Wain-Hobson,Vladimir Saplacan,Fabio Cutone,Dimitrios Buklas,Calin Ivas 대한심장학회 2012 Korean Circulation Journal Vol.42 No.7
Although rare, iatrogenic aortocoronary dissection is one of the complications most dreaded by the interventional cardiologist. If not managed promptly, it can have redoubted and serious consequences. Herein, we present the case of a 70 year-old woman who was treat-ed by stenting of the second segment of the right coronary artery (RCA) for recurrent angina but, unfortunately, the procedure was com-plicated by anterograde dissection of the RCA with a simultaneous retrograde propagation to the proximal part of the ascending aorta. Successful stenting of the entry point was able to recuperate the RCA and to limit the retrograde propagation to the ascending aorta, but there was an extension of the dissection to the aortic valve leaflets resulting in a massive aortic insufficiency. Therefore, an isolated surgi-cal aortic valve replacement was performed. Although rare, iatrogenic aortocoronary dissection is one of the complications most dreaded by the interventional cardiologist. If not managed promptly, it can have redoubted and serious consequences. Herein, we present the case of a 70 year-old woman who was treat-ed by stenting of the second segment of the right coronary artery (RCA) for recurrent angina but, unfortunately, the procedure was com-plicated by anterograde dissection of the RCA with a simultaneous retrograde propagation to the proximal part of the ascending aorta. Successful stenting of the entry point was able to recuperate the RCA and to limit the retrograde propagation to the ascending aorta, but there was an extension of the dissection to the aortic valve leaflets resulting in a massive aortic insufficiency. Therefore, an isolated surgi-cal aortic valve replacement was performed.
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