title: Usefulness of contrast computed tomography to detect left ventricular apical thrombus associated with takotsubo cardiomyopathy.
abstract: Left ventricular (LV) apical thrombus can rarely occur during the early phase of takotsubo cardiomyopathy. We report such a case that was depicted clearly in contrast computed tomography (CT) but not in initial echocardiography. Because LV thrombus may lead to thromboembolic events, we should evaluate all patients with takotsubo cardiomyopathy for the presence of a LV thrombus. LV thrombus is generally recognized with echocardiography in the course of follow-up, but limited depiction of the LV apex with echocardiography can make evaluation of LV thrombus difficult. Contrast CT is useful to detect LV apical thrombus associated with takotsubo cardiomyopathy.
authors: Department of Cardiology, Teikyo University Chiba Medical Center, 3426-3 Anesaki, Chiba, Ichihara, 299-0111, Japan.
authors: Kotaro
authors: K
authors: Ouchi
authors: Department of Cardiology, Teikyo University Chiba Medical Center, 3426-3 Anesaki, Chiba, Ichihara, 299-0111, Japan. laser-tky@umin.ac.jp.
authors: Fumitaka
authors: F
authors: Nakamura
authors: Department of Cardiology, Teikyo University Chiba Medical Center, 3426-3 Anesaki, Chiba, Ichihara, 299-0111, Japan.
authors: Masayasu
authors: M
authors: Ikutomi
authors: Department of Cardiology, Teikyo University Chiba Medical Center, 3426-3 Anesaki, Chiba, Ichihara, 299-0111, Japan.
authors: Tsukasa
authors: T
authors: Oshima
authors: Department of Cardiology, Teikyo University Chiba Medical Center, 3426-3 Anesaki, Chiba, Ichihara, 299-0111, Japan.
authors: Jumpei
authors: J
authors: Ishiwata
authors: Department of Cardiology, Teikyo University Chiba Medical Center, 3426-3 Anesaki, Chiba, Ichihara, 299-0111, Japan.
authors: Hiroki
authors: H
authors: Shinohara
authors: Department of Cardiology, Teikyo University Chiba Medical Center, 3426-3 Anesaki, Chiba, Ichihara, 299-0111, Japan.
authors: Tsunashi
authors: T
authors: Kouzaki
authors: Department of Cardiology, Teikyo University Chiba Medical Center, 3426-3 Anesaki, Chiba, Ichihara, 299-0111, Japan.
authors: Toshihiro
authors: T
authors: Amaki
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D003287:Contrast Media / Q000008:administration & dosage*; D017023:Coronary Angiography; D015150:Echocardiography, Doppler; D004562:Electrocardiography; D005260:Female; D006352:Heart Ventricles / Q000000981:diagnostic imaging*; D006801:Humans; D008875:Middle Aged; D011237:Predictive Value of Tests; D054549:Takotsubo Cardiomyopathy / Q000150:complications* / Q000000981:diagnostic imaging / Q000503:physiopathology; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000188:drug therapy / Q000209:etiology; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
chemical_list: D000925:Anticoagulants; D003287:Contrast Media
keywords: Contrast computed tomography; Echocardiography; Left ventricular apical thrombus; Takotsubo cardiomyopathy
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