Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2013 May 26:8:135.
doi: 10.1186/1749-8090-8-135.

Transapical extirpation of a left ventricular thrombus in Takotsubo cardiomyopathy

Ryo Suzuki  1 , Tomoaki Kudo, Hiroshi Kurazumi, Masaya Takahashi, Bungo Shirasawa, Akihito Mikamo, Kimikazu Hamano
Affiliations
Case Reports

Transapical extirpation of a left ventricular thrombus in Takotsubo cardiomyopathy

Ryo Suzuki et al. J Cardiothorac Surg. .

Abstract

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.

PubMed Disclaimer

Figures

Figure 1
Figure 1
The electrocardiogram showed ST elevation in leads V2–V6.
Figure 2
Figure 2
There were mural thrombus (black arrow).
See this image and copyright information in PMC

References

    1. Kawai S, Kitabatake A, Tomoike H. Takotsubo Cardiomyopathy Group. Guidelines for diagnosis of takotsubo (ampulla) cardiomyopathy. Circ J. 2007;71:990–992. doi: 10.1253/circj.71.990. - DOI - PubMed
    1. de Gregorio C, Grimaldi P, Lentini C. Left ventricular thrombus formation and cardioembolic complications in patients with Takotsubo-like syndrome: a systematic review. Int J Cardiol. 2008;131:18–24. doi: 10.1016/j.ijcard.2008.05.060. - DOI - PubMed
    1. van Dantzig JM, Delemarre BJ, Bot H, Visser CA. Left ventricular thrombus in acute myocardial infarction. Eur Heart J. 1996;17:1640–1645. doi: 10.1093/oxfordjournals.eurheartj.a014746. - DOI - PubMed
    1. Haghi D, Papavassiliu T, Heggemann F, Kaden JJ, Borggrefe M, Suselbeck T. Incidence and clinical significance of left ventricular thrombus in tako-tsubo cardiomyopathy assessed with echocardiography. QJM. 2008;101:381–386. doi: 10.1093/qjmed/hcn017. - DOI - PubMed
    1. Stratton JR, Resnick AD. Increased embolic risk in patients with left ventricular thrombi. Circulation. 1987;75:1004–1011. doi: 10.1161/01.CIR.75.5.1004. - DOI - PubMed

Publication types

LinkOut - more resources