Scimago Lab
powered by Scopus
eISSN: 1941-5923
call: +1.631.629.4328
Mon-Fri 10 am - 2 pm EST


Medical Science Monitor Basic Research


Get your full text copy in PDF

Mid-Ventricular Takotsubo Cardiomyopathy with Hawk’s Beak Appearance: A Case Report

Anthony Matta, Jerome Roncalli, Meyer Elbaz, Thibault Lhermusier, Francisco Campelo-Parada, Frederic Bouisset, Khaled Elenizi, Vanessa Nader, Didier Carrié

(Cardiology Division, Faculty of Medicine, Holy Spirit University of Kaslik, Kaslik, Lebanon)

Am J Case Rep 2020; 21:e919563

DOI: 10.12659/AJCR.919563

BACKGROUND: Takotsubo cardiomyopathy is a myocardial infarction-like clinical entity commonly occurring after a stressful incident, leading to reversible systolic dysfunction. It involves several subtypes, most often associated with a good prognosis; however, a late diagnosis can contribute to a poor cardiovascular outcome.
CASE REPORT: We report an unusual case of mid-ventricular takotsubo cardiomyopathy in a 76-year-old woman who presented with recent-onset shortness of breath and compressive chest pain, typically characterized by a hawk’s beak shape on left ventriculogram, highlighting the importance of this helpful descriptive but little-known fluoroscopic sign. The final diagnosis was made using transthoracic echocardiography, contrast-enhanced pulmonary angiography, coronary angiography, and left ventriculography. She was successfully treated by beta-blockers and angiotensin-converting enzyme inhibitor, with a good clinical outcome evaluated at 3-month follow-up after hospital discharge.
CONCLUSIONS: Ventriculography is an important tool for use in making the differential diagnosis in patients presenting with acute coronary syndrome without obstructive coronary artery disease. The hawk’s beak shape is an early fluoroscopic diagnostic marker characterizing the mid-ventricular subtype of takotsubo.

Keywords: acute coronary syndrome, case reports, takotsubo cardiomyopathy

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
I agree