PMC4900057_01
68-year-old female with takotsubo cardiomyopathy. CTPA demonstrating right middle lobe subsegmental pulmonary embolus discovered at the time of the hypoxic event.
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Repeat CTPA demonstrated a subsegmental right middle lobe pulmonary embolus (Fig. 1) in addition to pulmonary edema (Fig. 2) and left ventricular dilatation (Fig. 3).
68-year-old female with takotsubo cardiomyopathy. A) Axial CT of patient three days before acute hypoxic decompensation. The image demonstrates normal left ventricular size. B) Axial CT of patient obtained during the hypoxic event. The image demonstrates left ventricular apical ballooning.
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Repeat CTPA demonstrated a subsegmental right middle lobe pulmonary embolus (Fig. 1) in addition to pulmonary edema (Fig. 2) and left ventricular dilatation (Fig. 3).
68-year-old female with takotsubo cardiomyopathy. A) Bedside echocardiogram of patient during acute hypoxic event demonstrating left ventricular apical ballooning and severe LV dysfunction (EF of 20%). B) Bedside echocardiogram four days later demonstrating resolution of cardiomyopathy (EF of 50%).
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An echocardiogram demonstrated global hypokinesis and apical ballooning with an ejection fraction (EF) of 20% (Fig. 4A). Repeat echocardiogram on hospital day nine demonstrated improved cardiac contractility, an appropriately moving cardiac apex, and an EF of 50% (Fig. 4B).
68-year-old female with takotsubo cardiomyopathy. Coronary angiogram obtained at time of acute decompensation demonstrating normal anatomy with no flow-limiting lesions observed.
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