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Utility of Cardiac Magnetic Resonance Imaging for Isolated Right Ventricular Takotsubo Syndrome
Yosuke Uchida1, Masataka Suzuki1, Hiromi Hashimura2
1Department of Cardiology, Kobe City Nishi-Kobe Medical Center, Kobe, Japan.
Abstract:
Isolated right ventricular (RV) Takotsubo syndrome (TTS) is a rare variant of TTS that involves only the RV. Herein, we report a case of a 79-year-old man diagnosed with isolated RV-TTS. Echocardiography showed mid-to-apical RV akinesis, with preserved left ventricular function. Cardiac magnetic resonance imaging showed a high-intensity area in the RV apex on a T2-weighted short-tau inversion recovery (T2-STIR) image, indicating myocardial edema. Following conservative treatment, the RV wall motion abnormality improved, and the T2-STIR high-intensity area showed resolution. This case highlights the utility of cardiac magnetic resonance imaging in evaluating transient myocardial edema in isolated RV-TTS.
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