A rare case of tricuspid valve fibroelastoma complicated by late onset
takotsubo syndrome after surgery
Abstract
Background Takotsubo syndrome (TTS) often develops following various
types of stressors including cardiac surgery, and may be fatal in rare
cases. Case summary We report a rare case of right atrial papillary
fibroelastoma that was complicated by fatal takotsubo syndrome after
successful resection. The patient was evaluated for chest pain and right
atrial mass that was confirmed by computed tomography and
trans-esophageal echocardiography. Pathology findings were consistent
with papillary fibroelastoma of the tricuspid valve. Three weeks after
successful surgery, the patient was admitted due to cardiogenic shock
with echocardiographic findings of apical ballooning and left
ventricular outflow tract obstruction, consistent with takotsubo
syndrome. Patient died one hour after her admission despite optimal
medical therapy.