title: Left ventricular free wall rupture in transient left ventricular apical ballooning.
abstract: 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.
authors.affiliation: Division of Cardiology, Tokushima Red Cross Hospital, Komatsushima, Japan. yoshio@tokushima-med.jrc.or.jp
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Ohara
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Hiasa
authors.forename: Shinobu
authors.initials: S
authors.lastname: Hosokawa
authors.forename: Takeshi
authors.initials: T
authors.lastname: Tomokane
authors.forename: Koji
authors.initials: K
authors.lastname: Yamaguchi
authors.forename: Riyo
authors.initials: R
authors.lastname: Ogura
authors.forename: Hitoshi
authors.initials: H
authors.lastname: Miyajima
authors.forename: Taturo
authors.initials: T
authors.lastname: Ogata
authors.forename: Kenichiro
authors.initials: K
authors.lastname: Yuba
authors.forename: Naoki
authors.initials: N
authors.lastname: Suzuki
authors.forename: Takefumi
authors.initials: T
authors.lastname: Takahashi
authors.forename: Koichi
authors.initials: K
authors.lastname: Kishi
authors.forename: Ryuji
authors.initials: R
authors.lastname: Ohtani
mesh_terms: D000368:Aged; D021721:Balloon Occlusion; D002404:Catheterization / Q000009:adverse effects*; D017809:Fatal Outcome; D005260:Female; D006352:Heart Ventricles / Q000293:injuries* / Q000473:pathology; D006801:Humans; D009203:Myocardial Infarction / Q000473:pathology / Q000628:therapy*