Mid-ventricular Tako-Tsubo cardiomyopathy with structurally normal coronary arteries confirmed by optical coherence tomography.

Tako-Tsubo cardiomyopathy is an entity of unknown etiology characterized by transient apical dyskinesia in patients with angiographically normal coronary arteries. However, atypical forms of Tako-Tsubo cardiomyopathy may also occur, affecting other myocardial segments. Optical coherence tomography has a unique resolution and may detect angiographically silent atherosclerotic coronary artery disease. In this report, we describe optical coherence tomography findings in a patient with atypical Tako-Tsubo cardiomyopathy presenting as transient mid-ventricular ballooning.