Prompt resolution of an apical left ventricular thrombus in a patient with takotsubo cardiomyopathy.
This report describes the prompt resolution of an apical left ventricular (LV)-thrombus complicating transient apical ballooning in a 74-year-old woman. The patient was admitted to our emergency department with acute chest pain and ST-elevation on the electrocardiogram. Coronary angiography showed normal coronary arteries and LV-angiography demonstrated the presence of apical ballooning akinesis associated with basal hypercontraction. Echocardiography and MRI studies confirmed the presence of LV-apex akinesis and detected an apical thrombus. Follow-up echocardiography on day 12 before discharge of the patient, revealed a marked improvement of regional contractility of the LV-apex and surprisingly the complete resolution of the LV-apical thrombus. The patient was diagnosed with takotsubo cardiomyopathy.
Korosoglou
Grigorios
G
Haars
Andreas
A
Kuecherer
Helmut
H
Giannitsis
Evangelos
E
Katus
Hugo A
HA
D000368:Aged; D000787:Angina Pectoris / Q000209:etiology; D000925:Anticoagulants / Q000627:therapeutic use; D009202:Cardiomyopathies / Q000150:complications / Q000188:drug therapy*; D002317:Cardiovascular Agents / Q000627:therapeutic use; D005260:Female; D006331:Heart Diseases / Q000150:complications / Q000188:drug therapy*; D006801:Humans; D012074:Remission Induction; D013927:Thrombosis / Q000150:complications / Q000188:drug therapy*; D018487:Ventricular Dysfunction, Left / Q000209:etiology
D000925:Anticoagulants; D002317:Cardiovascular Agents