Related Experiment Video

Updated: May 11, 2026

Ablation of Ischemic Ventricular Tachycardia Using a Multipolar Catheter and 3-dimensional Mapping System for High-density Electro-anatomical Reconstruction
06:57

Ablation of Ischemic Ventricular Tachycardia Using a Multipolar Catheter and 3-dimensional Mapping System for High-density Electro-anatomical Reconstruction

Published on: January 31, 2019

Transapical extirpation of a left ventricular thrombus in Takotsubo cardiomyopathy

Ryo Suzuki1, Tomoaki Kudo, Hiroshi Kurazumi

  • 1Department 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.

Journal of Cardiothoracic Surgery
|May 28, 2013
PubMed

Insights

Takotsubo cardiomyopathy can cause left ventricular thrombus, a rare complication. Mobile thrombi in these patients pose a significant risk of thromboembolism, necessitating prompt intervention.

Area of Science:

  • Cardiology
  • Cardiovascular Medicine

Background:

  • Takotsubo cardiomyopathy (TTC), also known as stress-induced cardiomyopathy, is characterized by transient left ventricular dysfunction.
  • While typically presenting with ST-segment elevation mimicking myocardial infarction, coronary angiography often reveals unobstructed coronary arteries.

Observation:

  • A 58-year-old Japanese female presented with symptoms suggestive of acute coronary syndrome.
  • Initial investigations including electrocardiogram (ECG) showed ST elevation, but coronary angiography revealed normal coronary arteries.
  • The patient was diagnosed with Takotsubo cardiomyopathy and a concomitant left ventricular thrombus.

Findings:

  • Despite anticoagulation therapy, the left ventricular thrombus demonstrated increased mobility and protrusion.
  • Surgical intervention via a trans-apical approach was performed to extirpate the left ventricular thrombus.
  • This case highlights the potential for thrombus formation and complications in Takotsubo cardiomyopathy.

Implications:

  • Left ventricular thrombus formation is an uncommon but serious complication of Takotsubo cardiomyopathy.
  • Mobile and protruding left ventricular thrombi in TTC patients represent a high risk for thromboembolic events.
  • Early recognition and management, potentially including surgical removal, are crucial for improving outcomes in such cases.

More Related Videos

Operating Transverse Aortic Constriction with Absorbable Suture to Obtain Transient Myocardial Hypertrophy07:02

Operating Transverse Aortic Constriction with Absorbable Suture to Obtain Transient Myocardial Hypertrophy

Published on: September 9, 2020

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)13:10

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)

Published on: April 24, 2017

Related Concept Videos

Cardiomyopathy III: Hypertrophic Cardiomyopathy01:29

Cardiomyopathy III: Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy, or HCM, is an autosomal dominant genetic disorder characterized by asymmetric left ventricular hypertrophy without ventricular dilation. It is more common in men and is typically diagnosed in young, athletic adults.EtiologyHCM is primarily genetic and is caused by mutations in genes encoding sarcomeric proteins. Researchers have identified over 1400 mutations across at least 11 different genes. Among these, the most frequently occurring mutations are found in the...
Cardiomyopathy V: Interprofessional Care01:29

Cardiomyopathy V: Interprofessional Care

Managing cardiomyopathy involves addressing underlying or precipitating causes, treating heart failure with medications, and implementing dietary changes and a balanced exercise and rest regimen.Lifestyle ModificationsCardiomyopathy patients should adopt a low-sodium diet to reduce fluid retention and manage heart failure. A personalized exercise and rest plan helps maintain physical fitness without overstraining the heart. Avoiding alcohol and tobacco is essential to prevent further damage to...
Cardiomyopathy IV: Restrictive Cardiomyopathy01:29

Cardiomyopathy IV: Restrictive Cardiomyopathy

Restrictive cardiomyopathy (RCM) is a rare heart muscle disease characterized by impaired ventricular filling due to stiffened ventricular walls, leading to significant diastolic dysfunction.EtiologyRestrictive cardiomyopathy can arise from both inherited and acquired diseases, many of which are systemic. It is categorized into four main types: infiltrative, storage, non-infiltrative, and endomyocardial diseases.Infiltrative diseases, such as amyloidosis, lead to RCM by depositing amyloid...