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The International Journal of Cardiovascular Imaging
Published in: The International Journal of Cardiovascular Imaging 5/2007

01-10-2007 | Report

Cardiac MRI documented left ventricular thrombus complicating acute takotsubo syndrome: an uncommon dilemma

Authors: Veerpal Singh, Tom Mayer, John Salanitri, Michael H. Salinger

Published in: The International Journal of Cardiovascular Imaging | Issue 5/2007

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Abstract

Transient left ventricular apical hypokinesis results in a typical ampullary shape and has been described as Takotsubo cardiomyopathy (TCM). We report a case of TCM with the rare complication of left ventricular thrombus formation. Cardiac magnetic resonance imaging aided the diagnosis by characterizing the non-enhancing mass and evaluating the surrounding myocardium for scarring.
Literature
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Bybee KA, Kara T, Prasad A et al (2004) Systematic review: transient left ventricular apical ballooning: a syndrome that mimics ST-segment elevation myocardial infarction. Ann Intern Med 141:858–865PubMed
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Sharkey SW, Lesser JR, Aenovich AG et al (2005) Acute and reversible cardiomyopathy provoked by stress in women from the United States. Circulation 111:473–479CrossRef
3.
Kurisu S, Inoue I, Kawagoe T et al (2003) Left ventricular apical thrombus formation in a patient with suspected Tako-Tsubo-like left ventricular dysfunction. Circ J 67:556–558PubMedCrossRef
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Wittstein IS, Thiemann DR, Lima JA et al (2005) Neurohumoral features of myocardial stunning due to sudden emotional stress. N Engl J Med 352(6):539–48PubMedCrossRef
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Sasaki N, Kinugawa T, Yamawaki M, et al (2004) Transient left ventricular apical ballooning in a patient with bicuspid aortic valve created a left ventricular thrombus leading to acute renal infarction. Circ J 68:1081–1083PubMedCrossRef
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Mollet NR, Dymarkowski S, Volders W et al (2002) Visualization of ventricular thrombi with contrast-enhanced magnetic resonance imaging in patients with ischemic heart disease. Circulation 106:2873–2876PubMedCrossRef
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Fritz J, Wittstein IS, Lima JA, et al (2005) Transient left ventricular apical ballooning: magnetic resonance imaging evaluation. J Comput Assist Tomogr 29(1):34–36PubMedCrossRef
Metadata
Title
Cardiac MRI documented left ventricular thrombus complicating acute takotsubo syndrome: an uncommon dilemma
Authors
Veerpal Singh
Tom Mayer
John Salanitri
Michael H. Salinger
Publication date
01-10-2007
Publisher
Springer Netherlands
Published in
The International Journal of Cardiovascular Imaging / Issue 5/2007
Print ISSN: 1569-5794
Electronic ISSN: 1875-8312
DOI
https://doi.org/10.1007/s10554-006-9178-4

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