ArticleJournal of cardiovascular echography
Stress Cardiomyopathy Complicated By Left Ventricular Thrombosis with Fatal Detachment.
Article in Journal of cardiovascular echography. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
Left ventricular thrombosis (LVT) in stress cardiomyopathy or Takotsubo syndrome (TTS) is a moderately frequent complication. However, cardioembolic events are not frequently reported. Herein, we present a case report of 80-year-old patient admitted for chest pain at rest, started few days earlier following a violent argument. Her medical history included arterial hypertension and recent surgery of descending colon adenocarcinoma. Electrocardiogram showed sinus rhythm, negative T waves from V1 to V6, in D2, D3, AVF, and long QTc. Laboratory examinations documented an increased high sensitivity Troponin I, myoglobin, creatine kinase-MB, and B-type natriuretic peptide. Transthoracic echocardiography (TTE) showed a reduced left ventricular (LV) ejection fraction, "apical ballooning" with hyperkinesis of the basal segments of LV, suggestive for stress cardiomyopathy. A large thrombus in LV apex (3.3 cm × 2.1 cm) was found. Coronary angiogram showed normal coronary arteries. Anticoagulant therapy with Warfarin was quickly started, bridging with unfractionated heparin. Cardiac surgery was excluded for high-risk surgical patient. Daily TTE monitoring was done with evidence of slight reduction of the LVT. After 7
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