Skip to main content
Top
Published in: Journal of Cardiothoracic Surgery 1/2013

Open Access 01-12-2013 | Case report

Transapical extirpation of a left ventricular thrombus in takotsubo cardiomyopathy

Authors: Ryo Suzuki, Tomoaki Kudo, Hiroshi Kurazumi, Masaya Takahashi, Bungo Shirasawa, Akihito Mikamo, Kimikazu Hamano

Published in: Journal of Cardiothoracic Surgery | Issue 1/2013

Login to get access

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.
Appendix
Available only for authorised users
Literature
1.
go back to reference Kawai S, Kitabatake A, Tomoike H: Takotsubo Cardiomyopathy Group. Guidelines for diagnosis of takotsubo (ampulla) cardiomyopathy. Circ J. 2007, 71: 990-992. 10.1253/circj.71.990.CrossRefPubMed Kawai S, Kitabatake A, Tomoike H: Takotsubo Cardiomyopathy Group. Guidelines for diagnosis of takotsubo (ampulla) cardiomyopathy. Circ J. 2007, 71: 990-992. 10.1253/circj.71.990.CrossRefPubMed
2.
go back to reference 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. 10.1016/j.ijcard.2008.05.060.CrossRefPubMed 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. 10.1016/j.ijcard.2008.05.060.CrossRefPubMed
3.
go back to reference van Dantzig JM, Delemarre BJ, Bot H, Visser CA: Left ventricular thrombus in acute myocardial infarction. Eur Heart J. 1996, 17: 1640-1645. 10.1093/oxfordjournals.eurheartj.a014746.CrossRefPubMed van Dantzig JM, Delemarre BJ, Bot H, Visser CA: Left ventricular thrombus in acute myocardial infarction. Eur Heart J. 1996, 17: 1640-1645. 10.1093/oxfordjournals.eurheartj.a014746.CrossRefPubMed
4.
go back to reference 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. 10.1093/qjmed/hcn017.CrossRefPubMed 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. 10.1093/qjmed/hcn017.CrossRefPubMed
5.
go back to reference Stratton JR, Resnick AD: Increased embolic risk in patients with left ventricular thrombi. Circulation. 1987, 75: 1004-1011. 10.1161/01.CIR.75.5.1004.CrossRefPubMed Stratton JR, Resnick AD: Increased embolic risk in patients with left ventricular thrombi. Circulation. 1987, 75: 1004-1011. 10.1161/01.CIR.75.5.1004.CrossRefPubMed
6.
go back to reference Seitz MJ, McLeod MK, O’Keefe MD, Seah PW: A rare cause of Takotsubo cardiomyopathy related left ventricular apical thrombus requiring surgery. Heart Lung Circ. 2012 Apr, 21 (4): 245-246. 10.1016/j.hlc.2011.07.004.CrossRefPubMed Seitz MJ, McLeod MK, O’Keefe MD, Seah PW: A rare cause of Takotsubo cardiomyopathy related left ventricular apical thrombus requiring surgery. Heart Lung Circ. 2012 Apr, 21 (4): 245-246. 10.1016/j.hlc.2011.07.004.CrossRefPubMed
Metadata
Title
Transapical extirpation of a left ventricular thrombus in takotsubo cardiomyopathy
Authors
Ryo Suzuki
Tomoaki Kudo
Hiroshi Kurazumi
Masaya Takahashi
Bungo Shirasawa
Akihito Mikamo
Kimikazu Hamano
Publication date
01-12-2013
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2013
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/1749-8090-8-135

Other articles of this Issue 1/2013

Journal of Cardiothoracic Surgery 1/2013 Go to the issue