Takotsubo syndrome complicated by left ventricular thrombus and free wall rupture leading to cardiac arrest: a case report of successful life-saving surgical treatment

To our knowledge, this is the first case of TTS complicated by cardiac rupture during anticoagulation treatment for a left ventricular thrombus. Although anticoagulation therapy may have precipitated the bleeding associated with cardiac rupture, the early diagnosis of TTS complications and prompt management, including emergency surgery, may have contributed to the patient's favourable outcome.