EURORAD ESR

Case 14616

Reverse takotsubo cardiomyopathy

Author(s)
Emad Moussa. FRCR//MD

Mediclinic Airport Road Hospital Abudhabi,
United Arab Emirates;
Email: memad@mediclinic.ae
 
Patient
male, 60 year(s)
 
 
  • Figure 1
    Cardiac MRI

    4CH SSFP view of the heart with akinetic mid-ventricle, dyskinetic aneurysmally dilated base, notably septal segment and relatively normal contractile apex.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 2
    Short Axis View MRI

    Short Axis SSFP cardiac MRI showing dyskinetic aneurysmally dilated septal segment of the ventricle base level.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 3
    Stress perfusion Cardiac MRI

    Stress perfusion Cardiac MRI short axis view showing no evidence of perfusion defects notably at the aneurysmally dilated septum.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 4
    4 chamber stress perfusion MRI

    4 chamber stress perfusion MRI with no evidence of perfusion defects seen.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 5
    Delayed enhancement MRI
     

    Delayed enhancement cardiac MRI short axis showed no evidence of pathological delayed enhancement denoting no evidence of scarring.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    4 chamber view delayed myocardial enhancement showing no evidence of pathological enhancement.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 6
    Takotsubo Cardiomyopathy

    2 chamber view cardiac MRI with basal hyperkinesia and apical akinesia seen in classical Takotsubo syndrome.

     
    Area of Interest: Cardiac; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
4CH SSFP view of the heart with akinetic mid-ventricle, dyskinetic aneurysmally dilated base, notably septal segment and relatively normal contractile apex.
 
Short Axis SSFP cardiac MRI showing dyskinetic aneurysmally dilated septal segment of the ventricle base level.
 
Stress perfusion Cardiac MRI short axis view showing no evidence of perfusion defects notably at the aneurysmally dilated septum.
 
4 chamber stress perfusion MRI with no evidence of perfusion defects seen.
 
Delayed enhancement cardiac MRI short axis showed no evidence of pathological delayed enhancement denoting no evidence of scarring.
 
4 chamber view delayed myocardial enhancement showing no evidence of pathological enhancement.
 
2 chamber view cardiac MRI with basal hyperkinesia and apical akinesia seen in classical Takotsubo syndrome.
 
 
 
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