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Apical thrombus associated with Takotsubo cardiomyopathy in a young woman

Ricardo Tobar1, Renee Rotzak, Yoseph Rozenman

  • 1Heart Failure Service, E. Wolfson Medical Center, Heart Institute, Sackler School of Medicine, Tel Aviv University, Holon, Israel.

Echocardiography (Mount Kisco, N.Y.)
|May 15, 2009
PubMed

Insights

Takotsubo cardiomyopathy can lead to left ventricular apical thrombus. Prompt anticoagulant therapy resolved the thrombus and improved heart function in a young woman.

Area of Science:

  • Cardiology
  • Cardiovascular Medicine
  • Internal Medicine

Background:

  • Takotsubo cardiomyopathy (TTC), also known as stress-induced cardiomyopathy, is a reversible heart condition.
  • Left ventricular apical thrombus is a rare but serious complication of TTC.

Observation:

  • A young woman presented with Takotsubo cardiomyopathy.
  • She developed a left ventricular apical thrombus and significant wall motion abnormalities.

Findings:

  • Complete resolution of the left ventricular apical thrombus was observed.
  • Wall motion abnormalities normalized after three weeks of anticoagulant therapy.

Implications:

  • These findings highlight the importance of considering and monitoring for left ventricular apical thrombus in TTC patients.
  • Anticoagulant therapy appears effective in managing this complication, suggesting its use until cardiac function recovers.

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