Published in:
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
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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.