RESUMO
Aims: To investigate a case of the mid-ventricular variant of Takotsubo cardiomyopathy (TTC), stress-induced cardiomyopathy, and evaluate if gastrointestinal pain may also contribute to this cardiomyopathy. Presentation of Case: A 73-year-old female was admitted for severe abdominal pain, found to have positive cardiac biomarkers and ischemic ECG changes and was diagnosed with mid-ventricular TTC after non-invasive and invasive investigation. Discussion: There are many variants of TTC that was found in a literature review. We demonstrated a unique variant of TTC that occurred of a significant emotional stressor with acute abdominal pain. Conclusion: Not much detail is known about the variants TTC. Investigators must continue to study TTC so that physicians can more effectively diagnose, treat, and manage patients who present the condition. We suspect that gastrointestinal illness was the physical stressor that contributed to the onset of our patients TTC in a setting of ongoing emotional distress and should be on the differential as an eitology.
RESUMO
Coronary artery anomalies (CAA) are rare congenital abnormalities with incidence of about 1% in the general population.2Unfortunately, despite the low incidence, CAA can cause sudden cardiac death. Identifying the course of the artery is critical for appropriate management. We present a rare case of the left coronary artery arising from the right coronary ostium with special emphasis on normal coronary artery development as possible insight for treatment of diseased heart.