In 2015, 911,841 left heart catheterizations and 365,038 percutaneous coronary interventions were carried out in Germany. Complication rates for elective cardiac catheterization are low; however, the risk of complications increases with patient age and comorbidity. We present the case of a 49-year-old woman with long-term anorexia nervosa who underwent a diagnostic left heart catheterization on suspicion of takotsubo cardiomyopathy (TTC). She was found with extended hemorrhage from the puncture site approximately 3.5 h after the procedure. Autopsy identified fatal bleeding as the cause of death. Clinical examinations, autopsy findings, and forensic follow-up examinations revealed no pre-existing conditions that could have contributed to fatal bleeding. Anorexia nervosa is an eating disorder with a high mortality rate. Suicide is one of the most frequent causes of death among anorexia nervosa patients. Considering the patient’s history of psychiatric problems and previous suicidal utterances, we assume that she manipulated her pressure bandage with suicidal intent.

2015年，德国进行了911,841例左心导管插入术和365,038例经皮冠状动脉介入治疗。择期心导管检查的并发症发生率低；然而，并发症的风险随着患者年龄和合并症的增加而增加。我们介绍了一名患有长期神经性厌食症的 49 岁女性的病例，她因怀疑 Takotsubo 心肌病 (TTC) 而接受了诊断性左心导管插入术。手术后约 3.5 小时，发现她的穿刺部位有大量出血。尸检确定致命的出血是死因。临床检查、尸检结果和法医随访检查显示，没有可能导致致命出血的预先存在的条件。神经性厌食症是一种死亡率很高的饮食失调症。自杀是神经性厌食症患者最常见的死亡原因之一。考虑到患者的精神病史和先前的自杀言论，我们假设她有自杀意图操纵她的压力绷带。