title: Alternative presentation of tako-tsubo syndrome with spontaneous echo-contrast and "onion" shaped apical ballooning.
abstract: We report the case of a 79-year-old woman with transient left ventricular systolic dysfunction with apical ballooning (tako-tsubo like syndrome, TTS) showing an alternative newly reported "onion" shape. The patient was also characterized by atrial fibrillation and marked spontaneous echo-contrast: possible precipitating role for these conditions in TTS are discussed.
authors.affiliation: Cardiology Department, University of Foggia, Foggia, Italy. dr.natale.daniele.brunetti@hotmail.it
authors.forename: Natale Daniele
authors.initials: ND
authors.lastname: Brunetti
authors.forename: Riccardo
authors.initials: R
authors.lastname: Ieva
authors.forename: Michele
authors.initials: M
authors.lastname: Correale
authors.forename: Luisa
authors.initials: L
authors.lastname: De Gennaro
authors.forename: Pier Luigi
authors.initials: PL
authors.lastname: Pellegrino
authors.forename: Ezio
authors.initials: E
authors.lastname: Dioguardi
authors.forename: Matteo
authors.initials: M
authors.lastname: Di Biase
mesh_terms: D000368:Aged; D001281:Atrial Fibrillation / Q000150:complications; D005260:Female; D006801:Humans; D054549:Takotsubo Cardiomyopathy / Q000150:complications / Q000000981:diagnostic imaging* / Q000503:physiopathology; D014463:Ultrasonography