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We report a case that shows vasospasm to be one of the mechanisms responsible for left ventricular  ballooning syndrome. Our case suggests that identical ventriculographic findings in patients  with tako-tsubo syndrome and those with coronary vasospasm of a long left anterior descending  artery coronary artery may be due to a common etiology.

Left ventricular ballooning syndrome due to vasospasm of the middle portion of the left anterior descending coronary artery