title: Ampulla cardiomyopathy associated with aneurysmal subarachnoid hemorrhage: report of 6 patients.
abstract: BACKGROUND
  The authors report 6 cases of aneurysmal SAH associated with ampulla cardiomyopathy, which has been considered a unique type of stunned myocaridum.
  
  
  METHODS
  All patients were female, ranged from 35 to 79 years, and their echocardiograms revealed typical cardiac wall motions: the hypokinesia in the apical area of the left ventricle associated with the hyperkinesia in the basal area. In all, the cardiac function started to recover in the first few days; however, associated pulmonary congestions delayed aneurysmal surgeries in 3 patients. Among 3 patients whose surgeries were delayed, one died due to rerupture of aneurysm and another due to severe pneumonia. The other 4 patients recovered well, although one had left ventricular mural thrombus, which was treated successively with anticoagulant.
  
  
  CONCLUSIONS
  It is considered highly important for neurosurgeons to be familiar with this clinical entity, since this transient cardiac function disturbance can be diagnosed at the initial presentation with a unique wall motion. The significance and clinical features of ampulla cardiomyopathy are discussed.
authors.affiliation: Department of Cardiology, Neuro-research Institute for Stroke Care, National Hospital Organization Okayama Medical Center, Okayama 701-1192, Japan.
authors.forename: Kohei
authors.initials: K
authors.lastname: Fujita
authors.forename: Toru
authors.initials: T
authors.lastname: Fukuhara
authors.forename: Mitsuru
authors.initials: M
authors.lastname: Munemasa
authors.forename: Yoichiro
authors.initials: Y
authors.lastname: Numba
authors.forename: Hideyuki
authors.initials: H
authors.lastname: Kuyama
mesh_terms: D000328:Adult; D000368:Aged; D015331:Cohort Studies; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008875:Middle Aged; D017682:Myocardial Stunning / Q000175:diagnosis* / Q000209:etiology* / Q000628:therapy; D020127:Recovery of Function; D012189:Retrospective Studies; D013345:Subarachnoid Hemorrhage / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome