Tako-tsubo Cardiomyopathy Complicated With Cardiac Tamponade and Cardiogenic Shock

A 73-year-old female presented with cardiogenic shock secondary to hemopericardium and cardiac tamponade. Imaging revealed two fractured legs of an inferior vena cava filter, with one leg within the anterior myocardium of the right ventricle and another penetrating the inferior septum through the middle cardiac vein. Hemopericardium and cardiac tamponade were treated with pericardiocentesis. A multidisciplinary meeting resulted in deferring further action against the embedded fractured legs of the filter with consideration of the patient’s age and comorbidities. This case report should alert clinicians to think about hemopericardium as a cause of cardiac tamponade and cardiogenic shock in a patient with a history of an inferior vena cava filter placement.

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Spontaneous Coronary Artery Rupture Causing Acute Cardiac Tamponade and Cardiogenic Shock

International Heart Journal ◽

10.1536/ihj.18-432 ◽

2019 ◽

Vol 60 (4) ◽

pp. 1009-1012

Author(s):

Zhongliang He ◽

Guoxing Chen ◽

Xueming He ◽

Xiaowen He

Keyword(s):

Coronary Artery ◽

Cardiogenic Shock ◽

Cardiac Tamponade ◽

Coronary Artery Rupture

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The recurrence of tako-tsubo cardiomyopathy complicated by cardiogenic shock: A case report

International Journal of Cardiology ◽

10.1016/j.ijcard.2008.01.055 ◽

2009 ◽

Vol 134 (3) ◽

pp. e132-e134 ◽

Cited By ~ 5

Author(s):

Tetsuro Yoshida ◽

Takeshi Hibino ◽

Tetsuo Fujimaki ◽

Mitsutoshi Oguri ◽

Kimihiko Kato ◽

...

Keyword(s):

Case Report ◽

Cardiogenic Shock ◽

Tako Tsubo Cardiomyopathy

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Cardiogenic shock : Advances on diagnosis and treatment.3.An advance on the therapy.5.Shock by cardiac tamponade.

Nihon Naika Gakkai Zasshi ◽

10.2169/naika.85.73 ◽

1996 ◽

Vol 85 (1) ◽

pp. 73-77

Author(s):

MASAHIKO KINOSHITA

Keyword(s):

Cardiogenic Shock ◽

Cardiac Tamponade ◽

Diagnosis And Treatment

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Blunt traumatic rupture of the pericardium with cardiac herniation

CJEM ◽

10.1017/s1481803500009106 ◽

2004 ◽

Vol 6 (02) ◽

pp. 126-129 ◽

Cited By ~ 9

Author(s):

James C.R. Rippey ◽

Sudhakar Rao ◽

Daniel Fatovich

Keyword(s):

Case Report ◽

Cardiogenic Shock ◽

Cardiac Tamponade ◽

Multiple Trauma ◽

Traumatic Rupture ◽

Radiological Findings ◽

Cardiac Herniation ◽

Fatal Injury ◽

Pericardial Rupture

ABSTRACT Traumatic rupture of the pericardium with cardiac herniation is rare. Clinicians are often unfamiliar with the clinical and radiological manifestations of the injury, and the diagnosis is frequently missed preoperatively. This case report describes a patient with multiple trauma following a fall from a height, who developed this injury. The diagnosis was not made preoperatively despite suggestive clinical, electrocardiographic and radiological findings. Clinicians need to be aware of the presentation of this potentially fatal injury so that the diagnosis can be made and treatment instituted at an earlier stage. Pericardial rupture with cardiac herniation presents as cardiogenic shock, mimicking cardiac tamponade.

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