case_images: PMC5869801_01
case_images: EKG showing ST-segment elevation on anteroseptal leads with reciprocal changes on inferolateral leads
case_images: IJCIIS-8-44-g001.jpg
case_images: PMC5869801_01_IJCIIS-8-44-g001.jpg
case_images: F1
case_images: T-wave inversions of the inferior leads with ST elevations in V1-V3 [Figure 1]. Troponin was elevated at 2.43, CPK 514, CK-MB 229, and BNP >5000 with lactic acid 2.1.
case_images: Two-chamber view with color Doppler showing severe eccentric mitral regurgitation Jet
case_images: IJCIIS-8-44-g002.jpg
case_images: PMC5869801_01_IJCIIS-8-44-g002.jpg
case_images: F2
case_images: Echo [Figures 2 and 3] demonstrates hypokinesis from the mid-anterior wall to the apex with systolic anterior motion (SAM) of the mitral valve and significant mitral regurgitation (MR).
case_images: Two-chamber view showing hypokinesis from mid anterior wall to apex
case_images: IJCIIS-8-44-g003.jpg
case_images: PMC5869801_01_IJCIIS-8-44-g003.jpg
case_images: F3
case_images: Echo [Figures 2 and 3] demonstrates hypokinesis from the mid-anterior wall to the apex with systolic anterior motion (SAM) of the mitral valve and significant mitral regurgitation (MR).
case_images: Left ventriculogram showing ventricular apical ballooning
case_images: IJCIIS-8-44-g004.jpg
case_images: PMC5869801_01_IJCIIS-8-44-g004.jpg
case_images: F4
case_images: Cardiac catheterization [Figure 4] demonstrated nonobstructive coronary artery disease of the left anterior descending (LAD) with an EF of 30%.
case_images: Pressure tracing during pull back showing the increased LVOT gradient
case_images: IJCIIS-8-44-g005.jpg
case_images: PMC5869801_01_IJCIIS-8-44-g005.jpg
case_images: F5
case_images: There was also an increased left ventricular outflow tract (LVOT) pressure gradient [Figure 5] secondary to SAM.
case_images: Chamber View showing resolution of apical ballooning and wall motion abnormalities
case_images: IJCIIS-8-44-g006.jpg
case_images: PMC5869801_01_IJCIIS-8-44-g006.jpg
case_images: F6
case_images: Repeat echo demonstrates EF of 65% with the resolution of apical ballooning and wall abnormalities [Figure 6].