Transient Midventricular Ballooning Syndrome
A New Variant
R. Todd Hurst, MD*,*,
J. Wells Askew, MD ,
Christina S. Reuss, MD*,
Richard W. Lee, MD*,
John P. Sweeney, MD*,
F. David Fortuin, MD*,
Jae K. Oh, MD and
A. Jamil Tajik, MD*
* Division of Cardiovascular Diseases, Department of Internal Medicine, Mayo Clinic, Scottsdale, Arizona
Division of Cardiovascular Diseases, Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota

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Figure 1 Left ventriculogram in right anterior oblique view of Case 1 in diastole (A) and systole (B). Note the hypercontractility of the basal and apical segments and ballooning of the midventricular segments.
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Figure 2 Echocardiographic still frame of the left ventricle of Case 2. The apical 2-chamber view of the left ventricle is shown in diastole (A) and systole (B). In systole, note the ballooning of the midventricle only.
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Figure 3 Left ventriculogram in right anterior oblique view of Case 2 in diastole (A) and systole (B). Note the hypercontractility of the basal and apical segments and ballooning of the midventricular segments.
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Figure 4 Left ventriculogram in right anterior oblique view of Case 3 in diastole (A) and systole (B). Note the hypercontractility of the basal and apical segments and ballooning of the midsegments.
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Figure 5 Left ventriculogram in right anterior oblique view of Case 4 in diastole (A) and systole (B). Note the hypercontractility of the basal and apical segments and ballooning of the midsegments.
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