Takotsubo cardiomyopathy associated with free wall rupture and ventricular septal defect: a case report

Takotsubo cardiomyopathy is a rare cardiac presentation. It can be associated with severe complications such as hemodynamically significant ventricular septal defect and cardiac free wall rupture. In cases of mechanical complications, surgical repair is often indicated. Despite best medical and surgical efforts, patients with Takotsubo cardiomyopathy and mechanical complications carry significant mortality risk. Herein, we present an unusual presentation of Takotsubo cardiomyopathy that was associated with a mechanical complication. Although the patient underwent a successful surgical repair, she passed away from multiorgan failure during the postoperative period. Takotsubo’s cardiomyopathy is a rare cardiac pathology. It is usually managed conservatively. Diagnosis of Takotsubo’s cardiomyopathy should be made once other etiologies and causes have been ruled out. Takotsubo’s cardiomyopathy is very rarely associated with mechanical complications, including ventricular septal defect and cardiac rupture. While prognosis is guarded and outcomes are dire, early recognition of mechanical complications secondary to Takotsubo’s cardiomyopathy may facilitate quicker interventions, which may slightly improve clinical outcomes.