case_images: PMC5101515_01
case_images: Admission ECG showing ST-T changes.
case_images: cvja-27-e13-g001.jpg
case_images: PMC5101515_01_cvja-27-e13-g001.jpg
case_images: F1
case_images: Electrocardiography performed in the emergency department showed symmetrical T-wave negativity in V1-V6 and DI-avL (Fig. 1).
case_images: Coronary angiography with normal coronary angiographic findings.
case_images: cvja-27-e13-g002.jpg
case_images: PMC5101515_01_cvja-27-e13-g002.jpg
case_images: F2
case_images: With ongoing chest pain, the patient underwent coronary angiography, which detected normal coronary anatomy (Fig. 2).
case_images: Initial echocardiography showing apical ballooning and apical thrombus in the diastolic and systolic phase.
case_images: cvja-27-e13-g003.jpg
case_images: PMC5101515_01_cvja-27-e13-g003.jpg
case_images: F3
case_images: Transthoracic echocardiography revealed a dyskinetic left ventricular apex, with an ejection fraction of 35% and a 2.3 x 3.3-cm thrombus (Fig. 3).
case_images: After warfarin treatment, echocardiography showing improved left ventricle and resolved thrombus in the diastolic and systolic phase.
case_images: cvja-27-e14-g004.jpg
case_images: PMC5101515_01_cvja-27-e14-g004.jpg
case_images: F4
case_images: The echocardiographic examination was repeated, which showed that the apical dyskinesia and thrombus in the left ventricle had disappeared, and the ejection fraction was normal (Fig. 4).