Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo Cardiomyopathy

We report a patient with takotsubo cardiomyopathy who underwent surgical resection of apical left ventricular thrombus. A 59-year-old woman was transferred to our hospital in shock with hypothermia and diabetic ketoacidosis. The electrocardiogram showed ST segment elevation, while echocardiography r...

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Detalles Bibliográficos
Autores principales: Niino, Tetsuya, Unosawa, Satoshi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4460210/
https://www.ncbi.nlm.nih.gov/pubmed/26101686
http://dx.doi.org/10.1155/2015/387037
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author Niino, Tetsuya
Unosawa, Satoshi
author_facet Niino, Tetsuya
Unosawa, Satoshi
author_sort Niino, Tetsuya
collection PubMed
description We report a patient with takotsubo cardiomyopathy who underwent surgical resection of apical left ventricular thrombus. A 59-year-old woman was transferred to our hospital in shock with hypothermia and diabetic ketoacidosis. The electrocardiogram showed ST segment elevation, while echocardiography revealed a reduced ejection fraction with apical and midventricular akinesis. Emergency coronary angiography showed normal coronary arteries, so takotsubo cardiomyopathy was diagnosed. Follow-up echocardiography revealed improvement of the ejection fraction. A mobile apical thrombus was also detected. Thrombectomy was performed via a left apical incision and postoperative recovery was uneventful.
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spelling pubmed-44602102015-06-22 Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo Cardiomyopathy Niino, Tetsuya Unosawa, Satoshi Case Rep Surg Case Report We report a patient with takotsubo cardiomyopathy who underwent surgical resection of apical left ventricular thrombus. A 59-year-old woman was transferred to our hospital in shock with hypothermia and diabetic ketoacidosis. The electrocardiogram showed ST segment elevation, while echocardiography revealed a reduced ejection fraction with apical and midventricular akinesis. Emergency coronary angiography showed normal coronary arteries, so takotsubo cardiomyopathy was diagnosed. Follow-up echocardiography revealed improvement of the ejection fraction. A mobile apical thrombus was also detected. Thrombectomy was performed via a left apical incision and postoperative recovery was uneventful. Hindawi Publishing Corporation 2015 2015-05-26 /pmc/articles/PMC4460210/ /pubmed/26101686 http://dx.doi.org/10.1155/2015/387037 Text en Copyright © 2015 T. Niino and S. Unosawa. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Niino, Tetsuya
Unosawa, Satoshi
Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo Cardiomyopathy
title Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo Cardiomyopathy
title_full Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo Cardiomyopathy
title_fullStr Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo Cardiomyopathy
title_full_unstemmed Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo Cardiomyopathy
title_short Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo Cardiomyopathy
title_sort surgical extirpation of apical left ventricular thrombus in takotsubo cardiomyopathy
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4460210/
https://www.ncbi.nlm.nih.gov/pubmed/26101686
http://dx.doi.org/10.1155/2015/387037
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AT unosawasatoshi surgicalextirpationofapicalleftventricularthrombusintakotsubocardiomyopathy

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