title: Prompt resolution of an apical left ventricular thrombus in a patient with takotsubo cardiomyopathy.
abstract: 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.
authors.forename: Grigorios
authors.initials: G
authors.lastname: Korosoglou
authors.forename: Andreas
authors.initials: A
authors.lastname: Haars
authors.forename: Helmut
authors.initials: H
authors.lastname: Kuecherer
authors.forename: Evangelos
authors.initials: E
authors.lastname: Giannitsis
authors.forename: Hugo A
authors.initials: HA
authors.lastname: Katus
mesh_terms: 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
chemical_list: D000925:Anticoagulants; D002317:Cardiovascular Agents