Surgical Removal of a Left Ventricular Thrombus Which Showed Morphologic Changes Over Time in a Patient with
Jah Yeon Choi1, Eun Jin Park1, Sung Hun Park1
1Department of Cardiology, Korea University Guro Hospital, Seoul, Korea.
Insights
Stress-induced cardiomyopathy (SCMP) can lead to critical left ventricular (LV) thrombus complications. This case highlights a mobile LV thrombus in SCMP requiring surgical removal, emphasizing potential risks.
Area of Science:
- Cardiology
- Internal Medicine
Background:
- Stress-induced cardiomyopathy (SCMP), also known as Takotsubo cardiomyopathy, is a reversible condition.
- While generally having an excellent prognosis, SCMP can present with severe complications.
Observation:
- A critical complication of SCMP is the formation of a left ventricular (LV) thrombus.
- This case report details an LV thrombus that became increasingly mobile as cardiac function recovered.
Findings:
- The patient developed a left ventricular thrombus secondary to SCMP.
- Surgical intervention was necessary for the removal of the mobile LV thrombus.
Implications:
- This case underscores the importance of monitoring for LV thrombus formation in SCMP patients.
- Early detection and management of LV thrombus are crucial to prevent potentially fatal embolic events.
Abstract:
Although stress-induced cardiomyopathy (SCMP) is a reversible disease and the prognosis is usually excellent, several complications can occur and can result in fatal adverse events. The formation of left ventricular (LV) thrombus is one of these critical complications of SCMP. This report describes a case of SCMP complicated by formation of a LV thrombus that became increasingly mobile as LV contractility recovered, and for which surgical removal was performed. Here, we report a case of SCMP complicated by LV thrombus and review the literature regarding this topic.
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