Transapical extirpation of a left ventricular thrombus in takotsubo cardiomyopathy

A 58-year-old Japanese female was referred to our hospital. Although the electrocardiogram showed ST elevation, coronary angiography showed intact coronary artery. We diagnosed Takotsubo cardiomyopathy and a left ventricular thrombus. Anticoagulation was administered; however, the left ventricular t...

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Detalles Bibliográficos
Autores principales: Suzuki, Ryo, Kudo, Tomoaki, Kurazumi, Hiroshi, Takahashi, Masaya, Shirasawa, Bungo, Mikamo, Akihito, Hamano, Kimikazu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2013
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3720530/
https://www.ncbi.nlm.nih.gov/pubmed/23705797
http://dx.doi.org/10.1186/1749-8090-8-135
Descripción
Sumario:A 58-year-old Japanese female was referred to our hospital. Although the electrocardiogram showed ST elevation, coronary angiography showed intact coronary artery. We diagnosed Takotsubo cardiomyopathy and a left ventricular thrombus. Anticoagulation was administered; however, the left ventricular thrombus had become mobile and protrusive. We extirpated the left ventricular thrombus via trans-apical approach. Left ventricular thrombus is rare in Takotsubo cardiomyopathy, but these patients are at a higher risk of thromboembolism, especially if the thrombi are mobile and protruding.

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