• Heart and vessels · May 2016

    Case Reports

    Usefulness of contrast computed tomography to detect left ventricular apical thrombus associated with takotsubo cardiomyopathy.

    • Kotaro Ouchi, Fumitaka Nakamura, Masayasu Ikutomi, Tsukasa Oshima, Jumpei Ishiwata, Hiroki Shinohara, Tsunashi Kouzaki, and Toshihiro Amaki.
    • Department of Cardiology, Teikyo University Chiba Medical Center, 3426-3 Anesaki, Chiba, Ichihara, 299-0111, Japan.
    • Heart Vessels. 2016 May 1; 31 (5): 822-7.

    AbstractLeft 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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