title: Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo Cardiomyopathy.
abstract: 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.
authors.affiliation: Department of Cardiovascular Surgery, National Hospital Organization Disaster Medical Center, Japan.
authors.forename: Tetsuya
authors.identifier: 0000-0003-4189-9836
authors.initials: T
authors.lastname: Niino
authors.affiliation: Department of Cardiovascular Surgery, National Hospital Organization Disaster Medical Center, Japan.
authors.forename: Satoshi
authors.initials: S
authors.lastname: Unosawa