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Archives of cardiovascular diseases
Volume 103, n° 4
pages 270-272 (avril 2010)
Doi : 10.1016/j.acvd.2009.08.013
Received : 23 July 2009 ;  accepted : 27 August 2009
Transient left ventricular non-apical ballooning syndrome: Diagnosis with multiple imaging modalities
Syndrome de ballonisation non apicale transitoire du ventricule gauche : diagnostic avec l’imagerie multimodalités
 

Figure 1




Figure 1 : 

ECG revealed a sinus rhythm associated with new inverted T waves, predominantly in the precordial leads.


Figure 2




Figure 2 : 

The left ventriculogram demonstrated midventricular dilation and akinesis with a hypercontractile apex and base in favour of a transient LV non-apical ballooning syndrome (Panels A and B). Cine MRI sequences confirmed WMAs involving the middle portions of the left ventricle but not the LV apex (Panels C and D). However, long-axis dark-blood T2-weighted sequences detected apical and midventricular oedema (Panel E). No abnormality was found on delayed enhancement MRI (Panel F).


Figure 3




Figure 3 : 

2D strain segmental analysis in apical three-chamber view. Segmental 2D longitudinal strain of the basal anterior and anterolateral segments was decreased significantly compared with the basal inferior and inferoseptal segments.


Figure 4




Figure 4 : 

Bull’s eye map of peak systolic strain showing abnormal contraction in the apex and in the anterior, anteroseptal and anterolateral walls.

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