Varchetta F1*, Altiero M1 and Scaglionea M2,3
1Department of Radiology, Pineta Grande Hospital, Italy
2Department of Radiology, James Cook University Hospital, UK
3Department of Radiology, University of Sassari, Italy
A case of a woman that has undergone a gynecologic surgery (caesarean section) with subsequent onset of dyspnea is illustrated. After the cardiological visit, the patients came to the Room for suspected pulmonary embolism. She performed laboratory tests that showed an increase in dimer and markers of myocardiocitonecrosis, Electrocardiogram normal, chest X-ray negative and Computed Tomography-Pulmonary Angiography that excluded the embolism. The patient ordered hospitalization in ICU. A Coronary angiography was performed and resulted in the absence of obstructive coronary disease. Six days after, the patient achieved a cardiac magnetic resonance with Gadolinium administration. The results showed akinesia of mid-basal segments and edema in the anterior and inferior basal septum; no late enhanced areas were seen. These findings were suggestive of Takotsubo reverse syndrome. Images showed the typical mid-basal ballooning.
Varchetta F, Altiero M, Scaglionea M. Takotsubo-Reverse Syndrome with Non-Obstructive Coronary Artery Disease: A Case Report in Cardiac Magnetic Resonance Imaging. Clin Case Rep Int. 2021; 5: 1244.