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  • Title: Transapical extirpation of a left ventricular thrombus in Takotsubo cardiomyopathy.
    Author: Suzuki R, Kudo T, Kurazumi H, Takahashi M, Shirasawa B, Mikamo A, Hamano K.
    Journal: J Cardiothorac Surg; 2013 May 26; 8():135. PubMed ID: 23705797.
    Abstract:
    A 58-year-old Japanese female was referred to our hospital. Although the electrocardiogram showed ST elevation, coronary angiography showed intact coronary artery. We diagnosed Takotsubo cardiomyopathy and a left ventricular thrombus. Anticoagulation was administered; however, the left ventricular thrombus had become mobile and protrusive. We extirpated the left ventricular thrombus via trans-apical approach. Left ventricular thrombus is rare in Takotsubo cardiomyopathy, but these patients are at a higher risk of thromboembolism, especially if the thrombi are mobile and protruding.
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