RESUMO
Takotsubo cardiomyopathy (TCM) is clinically identical to acute myocardial infarction. We report an unusual case of TCM and review similar cases in pregnant women. A young woman with no pre-existing cardiovascular risk factors suffered sudden dyspnea during a cesarean section. Electrocardiography (ECG) showed T-wave inversion. We observed acute lung edema and left ventricular systolic dysfunction on echocardiography. A cardiac catheterization diagnosed TCM. We reviewed 20 cases of TCM; 17 cases occurred during the post-partum period and three during pregnancy. Five of these cases had vaginal deliveries and the remaining cases had cesarean sections. Within the latter group, five cases appeared intraoperatively. With the exception of one patient with normal ECG results, all other patients progressed, with changes in ECG readings and elevation of cardiac enzyme serum levels. However, cardiac catheterization revealed that coronary arterial damage did not occur in any of the cases. After three months, each patient fully recovered.
Assuntos
Cesárea , Complicações Intraoperatórias/diagnóstico por imagem , Cardiomiopatia de Takotsubo/diagnóstico por imagem , Adulto , Feminino , Humanos , GravidezRESUMO
Resumen Se expone el caso de un paciente con diagnóstico incidental de aneurisma del septo membranoso interventricular, una entidad extremadamente rara en ausencia de defecto septal interventricular asociado. Los pacientes asintomáticos con aneurisma del septo membranoso interventricular deben recibir control periódico debido a las potenciales complicaciones cardiovasculares que acarrea esta entidad.
Abstract We report the case of a patient incidentally diagnosed of aneurysm of the membranous interventricular septum, an extremely rare condition, in the absence of associated ventricular septal defect. Patients with membranous interventricular septal aneurysm who are asymptomatic should be monitored on a regular basis due to potential cardiovascular complications of this entity.
