A case of hypoparathyroidism with cardiovascular complications: interventricular septal dissecting aneurysm in a middle-aged woman

Abstract Background Hypoparathyroidism (HypoPT) is a rare endocrine disease characterized by hypocalcemia, hyperphosphatemia, and insufficient or no parathyroid hormone (PTH) secretion. Hypoparathyroidism-induced chronic hypocalcemia may lead to cardiovascular complications, including myocardial dys...

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Main Authors: Ronghua Huang, Yi Zhou, Xingshou Pan, Liufang Zhou, Zhengjiang Liu
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Endocrine Disorders
Subjects:
Online Access:https://doi.org/10.1186/s12902-025-02009-9
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author Ronghua Huang
Yi Zhou
Xingshou Pan
Liufang Zhou
Zhengjiang Liu
author_facet Ronghua Huang
Yi Zhou
Xingshou Pan
Liufang Zhou
Zhengjiang Liu
author_sort Ronghua Huang
collection DOAJ
description Abstract Background Hypoparathyroidism (HypoPT) is a rare endocrine disease characterized by hypocalcemia, hyperphosphatemia, and insufficient or no parathyroid hormone (PTH) secretion. Hypoparathyroidism-induced chronic hypocalcemia may lead to cardiovascular complications, including myocardial dysfunction and arrhythmias. Interventricular septal dissecting aneurysm, a rare cardiac anomaly, typically arises following structural or ischemic heart disease. This disease can lead to ventricular septal rupture and aneurysmal cystic chamber formation, causing changes in cardiac structure and hemodynamics as well as giving rise to various heart complications. Case presentation No study has reported an association between hypocalcemia and cardiac masses. We encountered a case of hypoparathyroidism in a middle-aged woman who developed an interventricular septal dissecting aneurysm. Upon examination, we found that HypoPT has a profound impact on the heart. Conclusions Hypocalcemia caused by HypoPT can result in structural changes in the heart and myocardial injury. Furthermore, there is a potential link between HypoPT and cardiac aneurysm. The development of an interventricular septal dissecting aneurysm can lead to various cardiac complications; therefore, its early diagnosis and treatment are necessary.
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publishDate 2025-07-01
publisher BMC
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series BMC Endocrine Disorders
spelling doaj-art-a170a0d5b0c74d5c8462ae6b51cc30cf2025-08-20T03:45:57ZengBMCBMC Endocrine Disorders1472-68232025-07-012511710.1186/s12902-025-02009-9A case of hypoparathyroidism with cardiovascular complications: interventricular septal dissecting aneurysm in a middle-aged womanRonghua Huang0Yi Zhou1Xingshou Pan2Liufang Zhou3Zhengjiang Liu4Department of Cardiology, Affiliated Hospital of Youjiang Medical University for Nationalities, Youjiang Medical University for NationalitiesDepartment of Cardiology, Affiliated Hospital of Youjiang Medical University for Nationalities, Youjiang Medical University for NationalitiesDepartment of Cardiology, Affiliated Hospital of Youjiang Medical University for Nationalities, Youjiang Medical University for NationalitiesDepartment of Cardiology, Affiliated Hospital of Youjiang Medical University for Nationalities, Youjiang Medical University for NationalitiesDepartment of Cardiology, Affiliated Hospital of Youjiang Medical University for Nationalities, Youjiang Medical University for NationalitiesAbstract Background Hypoparathyroidism (HypoPT) is a rare endocrine disease characterized by hypocalcemia, hyperphosphatemia, and insufficient or no parathyroid hormone (PTH) secretion. Hypoparathyroidism-induced chronic hypocalcemia may lead to cardiovascular complications, including myocardial dysfunction and arrhythmias. Interventricular septal dissecting aneurysm, a rare cardiac anomaly, typically arises following structural or ischemic heart disease. This disease can lead to ventricular septal rupture and aneurysmal cystic chamber formation, causing changes in cardiac structure and hemodynamics as well as giving rise to various heart complications. Case presentation No study has reported an association between hypocalcemia and cardiac masses. We encountered a case of hypoparathyroidism in a middle-aged woman who developed an interventricular septal dissecting aneurysm. Upon examination, we found that HypoPT has a profound impact on the heart. Conclusions Hypocalcemia caused by HypoPT can result in structural changes in the heart and myocardial injury. Furthermore, there is a potential link between HypoPT and cardiac aneurysm. The development of an interventricular septal dissecting aneurysm can lead to various cardiac complications; therefore, its early diagnosis and treatment are necessary.https://doi.org/10.1186/s12902-025-02009-9HypoparathyroidismInterventricular septal aneurysmCardiovascular diseaseParathyroid hormone
spellingShingle Ronghua Huang
Yi Zhou
Xingshou Pan
Liufang Zhou
Zhengjiang Liu
A case of hypoparathyroidism with cardiovascular complications: interventricular septal dissecting aneurysm in a middle-aged woman
BMC Endocrine Disorders
Hypoparathyroidism
Interventricular septal aneurysm
Cardiovascular disease
Parathyroid hormone
title A case of hypoparathyroidism with cardiovascular complications: interventricular septal dissecting aneurysm in a middle-aged woman
title_full A case of hypoparathyroidism with cardiovascular complications: interventricular septal dissecting aneurysm in a middle-aged woman
title_fullStr A case of hypoparathyroidism with cardiovascular complications: interventricular septal dissecting aneurysm in a middle-aged woman
title_full_unstemmed A case of hypoparathyroidism with cardiovascular complications: interventricular septal dissecting aneurysm in a middle-aged woman
title_short A case of hypoparathyroidism with cardiovascular complications: interventricular septal dissecting aneurysm in a middle-aged woman
title_sort case of hypoparathyroidism with cardiovascular complications interventricular septal dissecting aneurysm in a middle aged woman
topic Hypoparathyroidism
Interventricular septal aneurysm
Cardiovascular disease
Parathyroid hormone
url https://doi.org/10.1186/s12902-025-02009-9
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