PMC4008476_01
Coronary angiography of the left coronary tree with no angiographic evidence of obstructive disease.
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fig1
Patient underwent left heart catheterization early morning that revealed no angiographic evidence of disease in all epicardial coronaries with evidence of mid cavitary akinesis and apical as well as basal hyperkinesis with ejection fraction (EF) calculated at 37% and mildly elevated left ventricular end-diastolic pressure (Figures 1, 2, and 3).
Coronary angiography of the right coronary tree with no angiographic evidence of obstructive disease.
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fig2
Patient underwent left heart catheterization early morning that revealed no angiographic evidence of disease in all epicardial coronaries with evidence of mid cavitary akinesis and apical as well as basal hyperkinesis with ejection fraction (EF) calculated at 37% and mildly elevated left ventricular end-diastolic pressure (Figures 1, 2, and 3).
Left ventriculogram showing apical and basal hyperkinesis and mid cavitary akinesis.
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fig3
Patient underwent left heart catheterization early morning that revealed no angiographic evidence of disease in all epicardial coronaries with evidence of mid cavitary akinesis and apical as well as basal hyperkinesis with ejection fraction (EF) calculated at 37% and mildly elevated left ventricular end-diastolic pressure (Figures 1, 2, and 3).
Mid cavitary view of the left and right ventricle on cardiac MRI.
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fig4
Cardiac magnetic resonance imaging was performed the next day and revealed no areas of enhancement within the epicardium, the myocardium, or the endocardium ruling out myocarditis or infarct with mid cavitary hypokinesis and EF estimated to be 38% (Figure 4).