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.

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