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[Tako-tsubo-like transient left ventricular dysfunction with apical thrombus formation: a case report]
Yuji Yasuga1, Michio Inoue, Yoshihiro Takeda
1Cardiology of Heart Center, Rinku General Medical Center, Rinku Orai-kita 2-23, Izumisano, Osaka 598-8577.
Journal of Cardiology
|March 17, 2004
Summary
A patient experienced chest pain and ST-segment elevation, initially mimicking a heart attack. Treatment for apical thrombus associated with Tako-tsubo-like cardiomyopathy led to full recovery, highlighting the need for careful management.
Area of Science:
- Cardiology
- Cardiovascular Imaging
Background:
- Tako-tsubo-like cardiomyopathy (TTC) is a transient left ventricular dysfunction.
- Apical thrombus formation is a rare complication of TTC.
Observation:
- A 76-year-old woman presented with chest pain and ST-segment elevation, initially diagnosed as acute myocardial infarction.
- Coronary angiography revealed no significant stenosis, but left ventriculography showed marked regional wall motion abnormalities.
- Echocardiography identified an immobile apical thrombus six days post-admission.
Findings:
- The apical thrombus resolved completely after two weeks of anticoagulation therapy with heparin and warfarin.
- Left ventricular function normalized within three months.
- This case adds to the limited reports of TTC with apical thrombus.
Implications:
- TTC with apical thrombus requires careful management due to the potential risk of embolism.
- Prompt diagnosis and appropriate anticoagulation are crucial for favorable outcomes in such cases.
- Further research is needed to understand the pathophysiology and optimal treatment strategies for this rare complication.