J Cardiovasc Ultrasound.  2015 Jun;23(2):103-106. 10.4250/jcu.2015.23.2.103.

Surgical Removal of a Left Ventricular Thrombus Which Showed Morphologic Changes Over Time in a Patient with Stress-Induced Cardiomyopathy

• Choi JY
• Park EJ
• Park SH
• Kim HD
• Song JY
• Kim JB
• Lee SK
• Ryu YG
• Baek MJ
• Na JO

• KMID: 1806919
• DOI: http://doi.org/10.4250/jcu.2015.23.2.103

Abstract

Although stress-induced cardiomyopathy (SCMP) is a reversible disease and the prognosis is usually excellent, several complications can occur and can result in fatal adverse events. The formation of left ventricular (LV) thrombus is one of these critical complications of SCMP. This report describes a case of SCMP complicated by formation of a LV thrombus that became increasingly mobile as LV contractility recovered, and for which surgical removal was performed. Here, we report a case of SCMP complicated by LV thrombus and review the literature regarding this topic.

Keyword

Stress cardiomyopathy; Left ventricular thrombus; Echocardiography

MeSH Terms

Cardiomyopathies*
Echocardiography
Humans
Prognosis
Takotsubo Cardiomyopathy
Thrombosis*

Figure

• 

  Fig. 1 Electrocardiogram on admission showing ST elevation and T wave inversion in the precordial leads and a prolonged QT interval (480 msec) (A). ST elevation disappeared after one week on follow-up electrocardiogram (B).

• 

  Fig. 2 Initial transthoracic echocardiography demonstrating apical ballooning (A) and a mural thrombi at the apex (B). Follow-up transthoracic echocardiography after 1 week showing a highly mobile and pedunculated thrombi (C). Transthoracic echocardiography after surgical removal of thrombus (D).

• 

  Fig. 3 Removed thrombus measuring 1.7 × 1.2 × 0.7 cm in size.

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