Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo Cardiomyopathy
We report a patient with takotsubo cardiomyopathy who underwent surgical resection of apical left ventricular thrombus. A 59-year-old woman was transferred to our hospital in shock with hypothermia and diabetic ketoacidosis. The electrocardiogram showed ST segment elevation, while echocardiography r...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/387037 |
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| author | Tetsuya Niino Satoshi Unosawa |
| author_facet | Tetsuya Niino Satoshi Unosawa |
| author_sort | Tetsuya Niino |
| collection | DOAJ |
| description | We report a patient with takotsubo cardiomyopathy who underwent surgical resection of apical left ventricular thrombus. A 59-year-old woman was transferred to our hospital in shock with hypothermia and diabetic ketoacidosis. The electrocardiogram showed ST segment elevation, while echocardiography revealed a reduced ejection fraction with apical and midventricular akinesis. Emergency coronary angiography showed normal coronary arteries, so takotsubo cardiomyopathy was diagnosed. Follow-up echocardiography revealed improvement of the ejection fraction. A mobile apical thrombus was also detected. Thrombectomy was performed via a left apical incision and postoperative recovery was uneventful. |
| format | Article |
| id | doaj-art-ca51a03f779248c6b69e18593be4f207 |
| institution | OA Journals |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-ca51a03f779248c6b69e18593be4f2072025-08-20T02:19:47ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/387037387037Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo CardiomyopathyTetsuya Niino0Satoshi Unosawa1Department of Cardiovascular Surgery, National Hospital Organization Disaster Medical Center, JapanDepartment of Cardiovascular Surgery, National Hospital Organization Disaster Medical Center, JapanWe report a patient with takotsubo cardiomyopathy who underwent surgical resection of apical left ventricular thrombus. A 59-year-old woman was transferred to our hospital in shock with hypothermia and diabetic ketoacidosis. The electrocardiogram showed ST segment elevation, while echocardiography revealed a reduced ejection fraction with apical and midventricular akinesis. Emergency coronary angiography showed normal coronary arteries, so takotsubo cardiomyopathy was diagnosed. Follow-up echocardiography revealed improvement of the ejection fraction. A mobile apical thrombus was also detected. Thrombectomy was performed via a left apical incision and postoperative recovery was uneventful.http://dx.doi.org/10.1155/2015/387037 |
| spellingShingle | Tetsuya Niino Satoshi Unosawa Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo Cardiomyopathy Case Reports in Surgery |
| title | Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo Cardiomyopathy |
| title_full | Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo Cardiomyopathy |
| title_fullStr | Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo Cardiomyopathy |
| title_full_unstemmed | Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo Cardiomyopathy |
| title_short | Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo Cardiomyopathy |
| title_sort | surgical extirpation of apical left ventricular thrombus in takotsubo cardiomyopathy |
| url | http://dx.doi.org/10.1155/2015/387037 |
| work_keys_str_mv | AT tetsuyaniino surgicalextirpationofapicalleftventricularthrombusintakotsubocardiomyopathy AT satoshiunosawa surgicalextirpationofapicalleftventricularthrombusintakotsubocardiomyopathy |