Advertisement

Cardiac MRI documented left ventricular thrombus complicating acute takotsubo syndrome: an uncommon dilemma

  • Veerpal Singh
  • Tom Mayer
  • John Salanitri
  • Michael H. Salinger
Report

Abstract

Transient left ventricular apical hypokinesis results in a typical ampullary shape and has been described as Takotsubo cardiomyopathy (TCM). We report a case of TCM with the rare complication of left ventricular thrombus formation. Cardiac magnetic resonance imaging aided the diagnosis by characterizing the non-enhancing mass and evaluating the surrounding myocardium for scarring.

Keywords

Takotsubo cardiomyopathy Left ventricular thrombus Cardiac MRI 

Abbreviations

C-MRI

Cardiac MRI

MI

Myocardial Infarction

TCM

Takotsubo Cardiomyopathy

TTE

Transthoracic Echocardiography

References

  1. 1.
    Bybee KA, Kara T, Prasad A et al (2004) Systematic review: transient left ventricular apical ballooning: a syndrome that mimics ST-segment elevation myocardial infarction. Ann Intern Med 141:858–865PubMedGoogle Scholar
  2. 2.
    Sharkey SW, Lesser JR, Aenovich AG et al (2005) Acute and reversible cardiomyopathy provoked by stress in women from the United States. Circulation 111:473–479CrossRefGoogle Scholar
  3. 3.
    Kurisu S, Inoue I, Kawagoe T et al (2003) Left ventricular apical thrombus formation in a patient with suspected Tako-Tsubo-like left ventricular dysfunction. Circ J 67:556–558PubMedCrossRefGoogle Scholar
  4. 4.
    Wittstein IS, Thiemann DR, Lima JA et al (2005) Neurohumoral features of myocardial stunning due to sudden emotional stress. N Engl J Med 352(6):539–48PubMedCrossRefGoogle Scholar
  5. 5.
    Sasaki N, Kinugawa T, Yamawaki M, et al (2004) Transient left ventricular apical ballooning in a patient with bicuspid aortic valve created a left ventricular thrombus leading to acute renal infarction. Circ J 68:1081–1083PubMedCrossRefGoogle Scholar
  6. 6.
    Mollet NR, Dymarkowski S, Volders W et al (2002) Visualization of ventricular thrombi with contrast-enhanced magnetic resonance imaging in patients with ischemic heart disease. Circulation 106:2873–2876PubMedCrossRefGoogle Scholar
  7. 7.
    Fritz J, Wittstein IS, Lima JA, et al (2005) Transient left ventricular apical ballooning: magnetic resonance imaging evaluation. J Comput Assist Tomogr 29(1):34–36PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Veerpal Singh
    • 1
  • Tom Mayer
    • 1
  • John Salanitri
    • 1
  • Michael H. Salinger
    • 1
  1. 1.Division of CardiologyEvanston Northwestern HealthcareEvanstonUS

Personalised recommendations