Tako Tsubo Cardiomyopathy with Right Ventricular Involvement

Authors

  • Socrates Pastromas First Cardiology Department, Evangelismos Hospital, Athens
  • Spyridon Koulouris First Cardiology Department, Evangelismos Hospital, Athens
  • Isidoros P. Gavaliatsis Department of Interventional Cardiology, Evangelismos Hopsital, Athens
  • Prodromos Temperikidis First Cardiology Department, Evangelismos Hospital, Athens
  • Antonis S Manolis First Cardiology Department, Evangelismos Hospital, Athens

DOI:

https://doi.org/10.2015/hc.v4i4.184

Abstract

A 68–year–old woman, 4 hours after bronchoscopy, developed symptoms and ECG signs of inferolateral acute myocardial infarction. Emergency coronary angiography showed normal coronary arteries, but LV angiography revealed apical ballooning with apical akinesis diagnostic of Tako-tsubo cardiomyopathy. One day later cardiac MRI additionally disclosed right ventricular apical involvement, which has been reported in only very few cases in the literature associated with worse prognosis. Fortunately, our patient had an uneventful course and complete recovery.

Published

2009-12-24

Issue

Section

Images in Medicine