Transient left ventricular apical ballooning syndrome is a new entity in the field of acute coronary syndromes and percutaneous coronary intervention. A 92-year-old patient presented with an intriguing, previously undescribed finding: the 'migrant' nature of the wall motion abnormalities, first involving the inferior wall and, subsequently, the apical region of the left ventricle. We add a small piece to the complicated puzzle represented by this syndrome.