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08-11-2017 | Heart Beat | Uitgave 2/2018 Open Access

Netherlands Heart Journal 2/2018

A type of anteroseptal left ventricular ballooning in a patient with Takotsubo cardiomyopathy

Netherlands Heart Journal > Uitgave 2/2018
K. Goto, S. Kasama, M. Kurabayashi
A 62-year-old man presented to our hospital with chest pain. The electrocardiogram revealed ST-segment elevation in leads V1 through V3. The transthoracic echocardiogram showed akinesia of the anteroseptal wall (Fig.  1a). The coronary angiogram (Fig.  1b, c) revealed no significant stenosis or occlusion in the coronary artery. However, the left ventriculogram showed severe hypokinesis of the mid-left ventricle, while the basal left ventricle and left ventricular apex were hyperkinetic (Fig.  1d, e). The thallium-201 scintigram (Fig.  1f, left upper and lower images) and iodine-123-labeled 15-(p-iodophenyl)-3-R′S-methylpentadecanoic acid (BMIPP) (Fig.  1f, right upper and lower images) showed myocardial ischaemia in the anteroseptal wall, regardless of normal coronary blood flow. We diagnosed him as anteroseptal left ventricular ballooning with Takotsubo cardiomyopathy.
Takotsubo cardiomyopathy has been reported previously. However, the present case was rare with respect to the anteroseptal left ventricular ballooning.

Conflict of interest

K. Goto, S. Kasama and M. Kurabayashi declare that they have no competing interests.
Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://​creativecommons.​org/​licenses/​by/​4.​0/​), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.

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Netherlands Heart Journal

Het Netherlands Heart Journal wordt uitgegeven in samenwerking met de Nederlandse Vereniging voor Cardiologie en de Nederlandse Hartstichting. Het tijdschrift is Engelstalig en wordt gratis beschikbaa ...

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