Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 Oct 18;13(10):e18875.
doi: 10.7759/cureus.18875. eCollection 2021 Oct.

Transient Midventricular Ballooning Syndrome: An Atypical Case of Stress Cardiomyopathy

Krupa K Solanki  1 , Rishika Bajaj  2 , Gaby B Aoun  3
Affiliations
Case Reports

Transient Midventricular Ballooning Syndrome: An Atypical Case of Stress Cardiomyopathy

Krupa K Solanki et al. Cureus. .

Abstract

Stress cardiomyopathy can cause significant morbidity in the functional life of patients. The most common finding is apical ballooning of the left ventricle on cardiac catheterization. Some cases present with atypical imaging findings. This report presents a case of atypical stress cardiomyopathy with midventricular hypokinesis.

Keywords: interventional cardiology; midventricular ballooning syndrome; stress-induced cardiomyopathy; takotsubo cardiomyopathy; transthoracic echocardiogram; ventriculography.

PubMed Disclaimer

Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Transthoracic echocardiogram of the patient demonstrating midventricular ballooning syndrome.
(A) Left ventricular diastole. (B) Severe hypokinesis of the midleft ventricular wall (red arrows) during systole.
Figure 2
Figure 2. Left ventriculogram of the patient demonstrating midventricular ballooning syndrome.
(A) Left ventricular diastole. (B) Hypokinesis of the midsegment of the left ventricle (red arrows) with full motion of the apical (blue arrow) and basal (green arrows) segments during systole.
See this image and copyright information in PMC

References

    1. Midventricular Takotsubo syndrome. Theodoropoulos KC, Felekos I, Abell C, Palmer ND, Ali T. J Geriatr Cardiol. 2020;17:303–304. - PMC - PubMed
    1. International expert consensus document on Takotsubo syndrome (part II): diagnostic workup, outcome, and management. Ghadri JR, Wittstein IS, Prasad A, et al. Eur Heart J. 2018;39:2047–2062. - PMC - PubMed
    1. Transient midventricular ballooning syndrome: a new variant. Hurst RT, Askew JW, Reuss CS, et al. J Am Coll Cardiol. 2006;48:579–583. - PubMed
    1. Clinical features and outcomes of Takotsubo (stress) cardiomyopathy. Templin C, Ghadri JR, Diekmann J, et al. N Engl J Med. 2015;373:929–938. - PubMed
    1. Takotsubo cardiomyopathy: a unique cardiomyopathy with variable ventricular morphology. Hurst RT, Prasad A, Askew JW 3rd, Sengupta PP, Tajik AJ. JACC Cardiovasc Imaging. 2010;3:641–649. - PubMed

Publication types

LinkOut - more resources