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01-05-2016 | Case Report

Usefulness of contrast computed tomography to detect left ventricular apical thrombus associated with takotsubo cardiomyopathy

Authors: Kotaro Ouchi, Fumitaka Nakamura, Masayasu Ikutomi, Tsukasa Oshima, Jumpei Ishiwata, Hiroki Shinohara, Tsunashi Kouzaki, Toshihiro Amaki

Published in: Heart and Vessels | Issue 5/2016

Abstract

Left ventricular (LV) apical thrombus can rarely occur during the early phase of takotsubo cardiomyopathy. We report such a case that was depicted clearly in contrast computed tomography (CT) but not in initial echocardiography. Because LV thrombus may lead to thromboembolic events, we should evaluate all patients with takotsubo cardiomyopathy for the presence of a LV thrombus. LV thrombus is generally recognized with echocardiography in the course of follow-up, but limited depiction of the LV apex with echocardiography can make evaluation of LV thrombus difficult. Contrast CT is useful to detect LV apical thrombus associated with takotsubo cardiomyopathy.

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Title: Usefulness of contrast computed tomography to detect left ventricular apical thrombus associated with takotsubo cardiomyopathy
Authors: Kotaro Ouchi
Fumitaka Nakamura
Masayasu Ikutomi
Tsukasa Oshima
Jumpei Ishiwata
Hiroki Shinohara
Tsunashi Kouzaki
Toshihiro Amaki
Publication date: 01-05-2016
Publisher: Springer Japan
Published in: Heart and Vessels / Issue 5/2016
Print ISSN: 0910-8327
Electronic ISSN: 1615-2573
DOI: https://doi.org/10.1007/s00380-015-0637-5

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