Left ventricular free wall rupture in transient left ventricular apical ballooning.
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.
Ohara
Yoshikazu
Y
Division of Cardiology, Tokushima Red Cross Hospital, Komatsushima, Japan. yoshio@tokushima-med.jrc.or.jp
Hiasa
Yoshikazu
Y
Hosokawa
Shinobu
S
Tomokane
Takeshi
T
Yamaguchi
Koji
K
Ogura
Riyo
R
Miyajima
Hitoshi
H
Ogata
Taturo
T
Yuba
Kenichiro
K
Suzuki
Naoki
N
Takahashi
Takefumi
T
Kishi
Koichi
K
Ohtani
Ryuji
R
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*