case_images: PMC9980426_01
case_images: EKG showing normal sinus rhythm with nonspecific ST segment changes. EKG: electrocardiogram
case_images: cureus-0015-00000034450-i01.jpg
case_images: PMC9980426_01_cureus-0015-00000034450-i01.jpg
case_images: FIG1
case_images: Initial workup showed elevated NT-pro B-type natriuretic peptide at 20,405 pg/mL, troponin T of 0.152ng/mL (peak value), and normal sinus rhythm with nonspecific ST-segment changes on the electrocardiogram (EKG), (Figure 1).
case_images: Echocardiography images (apical 4-chamber view). Resting wall motion abnormalities, manifested as akinetic mid and distal anterior septum, severely hypokinetic mid anterior segment, and mildly hypokinetic mid inferolateral, inferolateral, inferoseptal, and inferior segments forming apical ballooning and basal hypercontractility.
case_images: .jpg
case_images: PMC9980426_01_.jpg
case_images: VID1
case_images: ABS syndrome (Video 1), with no evidence of left ventricular outflow tract obstruction (Figures 2, 3). A coronary angiography study was done which showed no evidence of coronary artery disease. ABS. A follow-up echocardiogram at 20 days post-OLT demonstrated a recovered LVEF at 57% with no wall motion abnormalities (Figures 2, 3) in addition to her resolution of symptoms.
case_images: Echocardiography images (apical 3-chamber view). (A) Normal apical systole four months pre-op, (B) mid and distal anterior septum and entire apex are akinetic with preserved contraction in basal portion at six days post-OLT, (C) Recovered LV function with normal apical systole 20 days post-OLT. OLT: orthotopic liver transplantation; LV: left ventricle
case_images: cureus-0015-00000034450-i02.jpg
case_images: PMC9980426_01_cureus-0015-00000034450-i02.jpg
case_images: FIG2
case_images: ABS syndrome (Video 1), with no evidence of left ventricular outflow tract obstruction (Figures 2, 3). A coronary angiography study was done which showed no evidence of coronary artery disease. ABS. A follow-up echocardiogram at 20 days post-OLT demonstrated a recovered LVEF at 57% with no wall motion abnormalities (Figures 2, 3) in addition to her resolution of symptoms.