PMC3350152_01
End-diastolic (a) and end-systolic (b) frames of two chamber view on initial echocardiography taken 12th day showing severe left ventricular systolic dysfunction with akinesia of the left ventricular base and mid-portion, and hypercontractility of the apex, and a followup echocardiography at the end of diastole (c) and systole (d) taken 28th days showing nearly normalized cardiac function without regional wall motion abnormalities.
CRIM.ANESTHESIOLOGY2011-164720.001.jpg
PMC3350152_01_CRIM.ANESTHESIOLOGY2011-164720.001.jpg
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Therefore, a cardiac workup was initiated, and an initial transthoracic echocardiogram (TTE) on the 12th day revealed severe left ventricular (LV) systolic dysfunction and ejection fraction of 23.5% with extensive akinesia of the LV base extending to the midcavity of the heart, together with preserved apical function (Figures 1(a) and 1(b)). TTE showed a return to near normal LV function (ejection fraction 54.6%) with resolution of the basal wall motion abnormalities (Figures 1(c) and 1(d)). The following hospital course was uneventful.