title: 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.
authors.affiliation: Department of Surgery and Clinical Science, Division of Cardiac Surgery, Yamaguchi University Graduate School of Medicine, 1-1-1 Minami-Kogushi, Ube, Yamaguchi 755-8505, Japan.
authors.forename: Ryo
authors.initials: R
authors.lastname: Suzuki
authors.forename: Tomoaki
authors.initials: T
authors.lastname: Kudo
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kurazumi
authors.forename: Masaya
authors.initials: M
authors.lastname: Takahashi
authors.forename: Bungo
authors.initials: B
authors.lastname: Shirasawa
authors.forename: Akihito
authors.initials: A
authors.lastname: Mikamo
authors.forename: Kimikazu
authors.initials: K
authors.lastname: Hamano
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D002315:Cardiopulmonary Bypass; D017023:Coronary Angiography; D003328:Coronary Thrombosis / Q000188:drug therapy / Q000601:surgery*; D003937:Diagnosis, Differential; D004562:Electrocardiography; D005260:Female; D006801:Humans; D008875:Middle Aged; D054549:Takotsubo Cardiomyopathy / Q000150:complications* / Q000175:diagnosis
chemical_list: D000925:Anticoagulants