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Transapical extirpation of a left ventricular thrombus in Takotsubo cardiomyopathy.

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.

SUBMITTER: Suzuki R

PROVIDER: S-EPMC3720530 | biostudies-literature | 2013 May

REPOSITORIES: biostudies-literature

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Transapical extirpation of a left ventricular thrombus in Takotsubo cardiomyopathy.

Suzuki Ryo R Kudo Tomoaki T Kurazumi Hiroshi H Takahashi Masaya M Shirasawa Bungo B Mikamo Akihito A Hamano Kimikazu K

Journal of cardiothoracic surgery 20130526

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 a ...[more]

PMID: 23705797

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