Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo Cardiomyopathy

الملخص EN

We report a patient with takotsubo cardiomyopathy who underwent surgical resection of apical left ventricular thrombus.

A 59-year-old woman was transferred to our hospital in shock with hypothermia and diabetic ketoacidosis.

The electrocardiogram showed ST segment elevation, while echocardiography revealed a reduced ejection fraction with apical and midventricular akinesis.

Emergency coronary angiography showed normal coronary arteries, so takotsubo cardiomyopathy was diagnosed.

Follow-up echocardiography revealed improvement of the ejection fraction.

A mobile apical thrombus was also detected.

Thrombectomy was performed via a left apical incision and postoperative recovery was uneventful.