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Case Reports in Medicine
Volume 2013 (2013), Article ID 793193, 4 pages
The Ace of Spades: Reverse Takotsubo Cardiomyopathy in the Context of Angiographic Embolization of Recurrent Metastatic Serotonin-Positive Neuroendocrine Tumour of the Pancreas
1McMaster University, 1280 Main Street West, Hamilton, ON, Canada L8S 4K1
2Department of Surgery, McMaster University, 1280 Main Street West, Hamilton, ON, Canada L8S 4K1
3Department of Pathology and Molecular Medicine, McMaster University, 1280 Main Street West, Hamilton, ON, Canada L8S 4K1
4Division of Cardiology, McMaster University, 1280 Main Street West, Hamilton, ON, Canada L8S 4K1
Received 22 September 2012; Revised 20 December 2012; Accepted 31 December 2012
Academic Editor: Hisao Ogawa
Copyright © 2013 Ian A. Mazzetti et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Movie I. Echocardiogram (apical 4-chamber view) showing dilated left ventricle with moderate systolic dysfunction (left ventricular ejection fraction 40%), with segmental wall motion abnormalities: hypokinetic mid-anterior wall with akinetic interventricular septum, basal inferolateral and anterior walls. The apical segment contracts normally.
Movie II. Left ventricular angiogram in the RAO projection, showing severe hypokinesis of the basal segments of the anterior and inferior walls, with normal contractile function of the more distal segments and apex.
Movie III. Repeat echocardiogram (apical 4-chamber view) showing normal left ventricular cavity size with very mild hypokinesis of the basal inferior and inferoseptal wall with a low normal systolic function and mild degree of diastolic dysfunction.