Broken heart syndrome following balloon mitral valvotomy

Abstract

Takotsubo syndrome (TS) or transient left ventricle apical ballooning syndrome is characterized by apical hypokinesia with increased compensatory contraction of basal segments usually in presence of non-obstructive coronary artery disease. TS has been described after variety of physical and emotional stress, including surgical procedures and rarely after atrio-ventricular block and arrhythmias. Perioperative TS is a well-recognized entity. TS after balloon mitral valvotomy for severe mitral stenosis has been described only once till now. We report only the second only reported case of TS following balloon mitral valvotomy in a 45-year-old female for severe rheumatic mitral stenosis.