The stress clot: Mid-cavitary variant takotsubo cardiomyopathy with left ventricular thrombus

Damir Vukomanovic; Kyle Hajek; Samuel Unzek; Radha Gopalan; Farouk Mookadam

doi:10.1111/echo.15692

The stress clot: Mid-cavitary variant takotsubo cardiomyopathy with left ventricular thrombus

Echocardiography. 2023 Nov;40(11):1280-1284. doi: 10.1111/echo.15692. Epub 2023 Sep 19.

Authors

Damir Vukomanovic¹, Kyle Hajek¹, Samuel Unzek¹, Radha Gopalan¹, Farouk Mookadam¹

Affiliation

¹ Department of Cardiology, University of Arizona College of Medicine-Phoenix, Phoenix, Arizona, USA.

PMID: 37725057
DOI: 10.1111/echo.15692

Abstract

Pregnancy and the post-partum period are known hypercoagulable states. Mid-cavitary variant Takotsubo cardiomyopathy (TCM) is uncommon and seen in only about 14% of all Takotsubo cases. Left ventricular thrombus (LVT) in the setting of mid-cavitary TCM is extremely rare, occurring in approximately 1% of cases. We describe a case of a young female, 1-week post-partum, with an acute LVT in the setting of mid-ventricular TCM, and we discuss the striking images and clinical management of this uncommon presentation.

Keywords: Takotsubo; cardiomyopathy; left ventricular thrombus; mid-cavitary variant Takotsubo; post-partum Takotsubo.

Publication types

Case Reports

MeSH terms

Female
Heart Ventricles / diagnostic imaging
Humans
Pregnancy
Takotsubo Cardiomyopathy* / complications
Takotsubo Cardiomyopathy* / diagnostic imaging
Thrombosis* / diagnosis
Thrombosis* / diagnostic imaging