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Takotsubo syndrome unmasking malignant coronary artery anomaly in a patient presenting with acute coronary syndrome: Expanding definitions of Takotsubo cardiomyopathy?
  1. Deeksha Kundapur1,
  2. Siddarth Nosib2 and
  3. Shravan Nosib3
  1. 1Medical student, College of Medicine, University of Ottawa Faculty of Medicine, Ottawa, Ontario, Canada
  2. 2Science student, College of Arts and Sciences, University of Saskatchewan, Saskatoon, Saskatchewan, Canada
  3. 3Cardiology, University of Saskatchewan College of Medicine, Saskatoon, Saskatchewan, Canada
  1. Correspondence to Dr Shravan Nosib; shravan.nosib{at}


The simultaneous occurrence of Takotsubo syndrome, congenital coronary artery anomaly and severe coronary artery disease is a rare clinical triad. This case report highlights the intricacies of management of this ‘triple jeopardy’ scenario.

  • ischaemic heart disease
  • heart failure
  • adult intensive care
  • vascular surgery

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  • Contributors DK has written the clinical presentation and investigations sections of the case report. SN has written the management section and was responsible for citing the references. He also finalised the manuscript for submission. SN wrote the discussion and corrected the whole manuscript.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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