Journal of Echocardiography
Online ISSN : 1880-344X
Print ISSN : 1349-0222
Case reports
Left Ventricular Rupture Associated With Takotsubo-like Left Ventricular Dysfunction (Apical Ballooning)
Ryotaro YamadaNozomi WatanabeTeruyoshi KumeTakahiro KawamotoNoriko OkahashiNozomi WadaYuji KoyamaEiji ToyotaHiroyuki OkuraKiyoshi Yoshida
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2006 Volume 4 Issue 2 Pages 59-62

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Abstract

A 71-year-old woman was admitted with sudden-onset shoulder and back pain. The electrocardiograph showed sinus rhythm with ST-segment elevation in leads V4-6 and abnormal Q waves in leads V4-5. Echocardiography at the time of admission revealed akinesis in the left ventricular apical wall. However, coronary angiography did not reveal a stenotic lesion in any of the coronary arteries. Left ventriculography revealed apical ballooning with basal hyperkinesis. Ten hours after onset, the patient suddenly collapsed and went into cardiopulmonary arrest. This is a rare case of left ventricular rupture with takotsubo-like left ventricular dysfunction.

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© 2006 by Japanese Society of Echocardiography
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