Journal of Cardiovascular Imaging

Korean Society of Echocardiography (한국심초음파학회)
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LEFT VENTRICULAR THROMBUS ASSOCIATED WITH TAKOTSUBO CARDIOMYOPATHY: A CARDIOEMBOLIC CAUSE OF CEREBRAL INFARCTION

  • Shin, Seoung-Nam (Department of Cardiovascular Medicine, Regional Cardiocerebrovascular Center, Wonkwang University Hospital) ;
  • Yun, Kyeong-Ho (Department of Cardiovascular Medicine, Regional Cardiocerebrovascular Center, Wonkwang University Hospital) ;
  • Ko, Jum-Suk (Department of Cardiovascular Medicine, Regional Cardiocerebrovascular Center, Wonkwang University Hospital) ;
  • Rhee, Sang-Jae (Department of Cardiovascular Medicine, Regional Cardiocerebrovascular Center, Wonkwang University Hospital) ;
  • Yoo, Nam-Jin (Department of Cardiovascular Medicine, Regional Cardiocerebrovascular Center, Wonkwang University Hospital) ;
  • Kim, Nam-Ho (Department of Cardiovascular Medicine, Regional Cardiocerebrovascular Center, Wonkwang University Hospital) ;
  • Oh, Seok-Kyu (Department of Cardiovascular Medicine, Regional Cardiocerebrovascular Center, Wonkwang University Hospital) ;
  • Jeong, Jin-Won (Department of Cardiovascular Medicine, Regional Cardiocerebrovascular Center, Wonkwang University Hospital)
  • Published : 2011.09.27
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Abstract

Takotsubo cardiomyopathy, also called stress-induced cardiomyopathy, usually occurs in patients with severe emotional or physiologic stress. The prognosis is favorable, and the wall motion abnormlities normalize within weeks. However, stress-induced cardiomyopathy is rarely assosicated with left ventricular thrombus and thromboembolic complications. Here, we report a case of stress-induced cardiomyopathy with left ventricular thrombus that embolized to cause cerebral infarction.

Keywords

References

  1. Lee JW, Kim JY. Stress-induced cardiomyopathy: the role of echocardiography. J Cardiovasc Ultrasound 2011;19:7-12.
  2. Wittstein IS, Thiemann DR, Lima JA, Baughman KL, Schulman SP, Gerstenblith G, Wu KC, Rade JJ, Bivalacqua TJ, Champion HC. Neurohumoral features of myocardial stunning due to sudden emotional stress. N Engl J Med 2005;352:539-48.
  3. Prasad A. Apical ballooning syndrome: an important differential diagnosis of acute myocardial infarction. Circulation 2007;115:e56-9. https://doi.org/10.1161/CIRCULATIONAHA.106.669341
  4. Akashi YJ, Tejima T, Sakurada H, Matsuda H, Suzuki K, Kawasaki K, Tsuchiya K, Hashimoto N, Musha H, Sakakibara M, Nakazawa K, Miyake F. Left ventricular rupture associated with Takotsubo cardiomyopathy. Mayo Clin Proc 2004;79:821-4.
  5. Kim DH, Bang DW, Ahn JH, Park SH, Oh HS, Yoon YJ, Hyon MS, Kim SK, Kwon YJ. Three cases of stress induced transient LV dysfunction: stress induced cardiomyopathy. J Korean Soc Echocardiogr 2005;13:83-6.
  6. Sharkey SW, Windenburg DC, Lesser JR, Maron MS, Hauser RG, Lesser JN, Haas TS, Hodges JS, Maron BJ. Natural history and expansive clinical profile of stress (tako-tsubo) cardiomyopathy. J Am Coll Cardiol 2010;55:333-41.
  7. Iengo R, Marrazzo G, Rumolo S, Accadia M, Di Donato M, Ascione L, Tuccillo B. An unusual presentation of "tako-tsubo cardiomyopathy". Eur J Echocardiogr 2007;8:491-4.
  8. Yoshida T, Hibino T, Fujimaki T, Oguri M, Kato K, Yajima K, Ohte N, Yokoi K, Kimura G. Tako-tsubo cardiomyopathy complicated by apical thrombus formation: a case report. Int J Cardiol 2009;132:e120-2.
  9. Tibrewala AV, Moss BN, Cooper HA. A rare case of tako-tsubo cardiomyopathy complicated by a left ventricular thrombus. South Med J 2006;99:70-3.
  10. Bybee KA, Kara T, Prasad A, Lerman A, Barsness GW, Wright RS, Rihal CS. Systematic review: transient left ventricular apical ballooning: a syndrome that mimics ST-segment elevation myocardial infarction. Ann Intern Med 2004;141:858-65.
  11. Haghi D, Papavassiliu T, Heggemann F, Kaden JJ, Borggrefe M, Suselbeck T. Incidence and clinical significance of left ventricular thrombus in tako-tsubo cardiomyopathy assessed with echocardiography. QJM 2008;101:381-6.
  12. Tobar R, Rotzak R, Rozenman Y. Apical thrombus associated with Takotsubo cardiomyopathy in a young woman. Echocardiography 2009;26:575-80.
  13. de Gregorio C, Grimaldi P, Lentini C. Left ventricular thrombus formation and cardioembolic complications in patients with Takotsubo-like syndrome: a systematic review. Int J Cardiol 2008;131:18-24.

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