case_images: PMC5376424_01
case_images: Coronary angiography, right anterior oblique view. (a) Note the presence of a relevant stenosis of the proximal segment of the left anterior descending artery (continuous arrow) and a moderate stenosis of the circumflex artery. (b) After the intracoronary injection of nitroglycerin not the reversibility of the left anterior descending stenosis.
case_images: CRIC2017-7875240.001.jpg
case_images: PMC5376424_01_CRIC2017-7875240.001.jpg
case_images: fig1
case_images: A coronary angiography was performed within the same day that revealed a moderate stenosis of the left circumflex coronary artery (dashed arrow in Figure 1(a)) as well as a localized spasm of the proximal LAD (white arrow in Figure 1(a)), which was reversible after intracoronary injection of 0.2 mg nitroglycerin (white arrow in Figure 1(b)).
case_images: Cardiac MR performed two weeks after the coronary angiography showing (a) apical edema in a T2 weighted TIRM black blood acquisition and (b) subendocardial late gadolinium enhancement in the apical region.
case_images: CRIC2017-7875240.002.jpg
case_images: PMC5376424_01_CRIC2017-7875240.002.jpg
case_images: fig2
case_images: The result of the examination was suggestive of the diagnosis of takotsubo cardiomyopathy with moderately reduced LV ejection fraction (Ejection fraction 44%), presence of myocardial edema in the apical region, and the presence of subendocardial late gadolinium enhancement in the apical region (Figures 2(a) and 2(b)).