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Left ventricular free wall rupture in transient left ventricular apical ballooning. 2005
Yoshikazu Ohara, and
Yoshikazu Hiasa, and
Shinobu Hosokawa, and
Takeshi Tomokane, and
Koji Yamaguchi, and
Riyo Ogura, and
Hitoshi Miyajima, and
Taturo Ogata, and
Kenichiro Yuba, and
Naoki Suzuki, and
Takefumi Takahashi, and
Koichi Kishi, and
Ryuji Ohtani
Division of Cardiology, Tokushima Red Cross Hospital, Komatsushima, Japan. yoshio@tokushima-med.jrc.or.jp
A 79-year-old woman presented with chest pain. Her symptoms, combined with the results of an electrocardiogram, echocardiogram and laboratory investigations were compatible with an extensive acute anterior myocardial infarction. However, emergency coronary angiography showed no stenotic lesion in any coronary artery, but left ventriculography revealed apical ballooning akinesis and basal hyperkinesis and she was diagnosed as having transient left ventricular apical ballooning. After 7 days, she suddenly went into cardiopulmonary arrest because of cardiac tamponade. The autopsy revealed a free wall rupture. Generally, the prognosis in transient left ventricular apical ballooning is good; left ventricular free wall rupture is very rare.
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