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Case Reports
. 2011 Sep;19(3):152-5.
doi: 10.4250/jcu.2011.19.3.152. Epub 2011 Sep 30.

Left ventricular thrombus associated with takotsubo cardiomyopathy: a cardioembolic cause of cerebral infarction

Seoung-Nam Shin  1 , Kyeong Ho Yun, Jum Suk Ko, Sang Jae Rhee, Nam Jin Yoo, Nam-Ho Kim, Seok Kyu Oh, Jin-Won Jeong
Affiliations
Case Reports

Left ventricular thrombus associated with takotsubo cardiomyopathy: a cardioembolic cause of cerebral infarction

Seoung-Nam Shin et al. J Cardiovasc Ultrasound. 2011 Sep.

Abstract

Takotsubo cardiomyopathy, also called stress-induced cardiomyopathy, usually occurs in patients with severe emotional or physiologic stress. The prognosis is favorable, and the wall motion abnormlities normalize within weeks. However, stress-induced cardiomyopathy is rarely assosicated with left ventricular thrombus and thromboembolic complications. Here, we report a case of stress-induced cardiomyopathy with left ventricular thrombus that embolized to cause cerebral infarction.

Keywords: Cerebral infarction; Takotsubo cardiomyopathy; Thrombus.

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Figures

Fig. 1
Fig. 1
An electrocardiogram showing an abnormal Q wave in the anterior precordial leads and a prolonged QT interval.
Fig. 2
Fig. 2
Initial transthoracic echocardiographic image in the apical 4-chamber view showing left ventricular apical ballooning and dyskinesis.
Fig. 3
Fig. 3
Diffusion image of magnetic resonance imaging showed multiple diffusion restrictive lesions in right cerebellar hemisphere (A), right internal capsule (B), right occipital lobe (C), and left parietal lobe (D).
Fig. 4
Fig. 4
Transthoracic echocardiographic image obtained after cerebral infarction developed, shows a 24 × 25 mm thrombus (arrow) in the left ventricular apex.
Fig. 5
Fig. 5
Transthoracic echocardiographic image obtained after 1 week of anticoagulation therapy shows near normal left ventricular wall motion and complete resolution of the apical thrombus.
See this image and copyright information in PMC

References

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