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Updated: Apr 18, 2026

Cardiac Magnetic Resonance for the Evaluation of Suspected Cardiac Thrombus: Conventional and Emerging Techniques
Published on: June 11, 2019
Usefulness of contrast computed tomography to detect left ventricular apical thrombus associated with takotsubo
Kotaro Ouchi1, Fumitaka Nakamura2, Masayasu Ikutomi1
1Department of Cardiology, Teikyo University Chiba Medical Center, 3426-3 Anesaki, Chiba, Ichihara, 299-0111, Japan.
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.
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