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Case Reports in Cardiology
Volume 2012, Article ID 537169, 3 pages
http://dx.doi.org/10.1155/2012/537169
Case Report

Cardiac Magnetic Resonance Imaging in the Diagnosis of Anterolateral Left Ventricular Ballooning, a Variant of Classic Takotsubo Cardiomyopathy

1Department of Cardiology, Triemlispital Zurich, 8063 Zurich, Switzerland
2Department of Cardiology, Kantonsspital Glarus, 8750 Glarus, Switzerland
3Department of Radiology, Triemlispital Zurich, 8063 Zurich, Switzerland

Received 8 October 2012; Accepted 5 November 2012

Academic Editors: A. J. Mansur and A. Movahed

Copyright © 2012 R. Zbinden 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.

Abstract

Transient left ventricular apical ballooning syndrome is characterized by transient akinesis of the left ventricular apex with basal wall hyperkinesis; this is also known as Takotsubo cardiomyopathy. There are three distinct contractile LV patterns described in the literature: apical, midventricular, and basal ballooning. The apical ballooning pattern is the most frequent pattern. We describe the case of a transient anterolateral left ventricular ballooning fulfilling the definition of Takotsubo cardiomyopathy except for the contractile LV pattern. The diagnosis was supported by cardiac magnetic resonance imaging and by the fact that the anterolateral ballooning resolved completely after 6 weeks.