Kishikawa Risa, Tanaka Takahiro, Hashimoto Masaki, Honda Kei, Omori Yasutoshi, Ishihara Akiko, Kamoi Yoshiro
Department of Cardiology, Showa General Hospital.
Int Heart J. 2020 Mar 28;61(2):400-403. doi: 10.1536/ihj.19-447. Epub 2020 Mar 14.
Takotsubo cardiomyopathy (TC) is a temporal dysfunction of the left ventricle (LV) due to psychological or physiological stress; however, it rarely causes LV thrombus. We report a case of a 49-year-old woman who developed LV thrombi due to TC despite anticoagulation therapy. The thrombi caused acute systemic infarction, with the most severe occlusion being in the right renal artery. The patient underwent percutaneous catheter aspiration thrombectomy of the right renal artery and her renal function recovered shortly after. The results of this case suggest that catheter aspiration thrombectomy is effective in the treatment of thromboembolism in TC.
应激性心肌病(TC)是一种由于心理或生理应激导致的左心室(LV)短暂性功能障碍;然而,它很少引起左心室血栓形成。我们报告一例49岁女性患者,尽管接受了抗凝治疗,但仍因应激性心肌病发生左心室血栓。这些血栓导致急性全身梗死,最严重的阻塞发生在右肾动脉。患者接受了右肾动脉经皮导管抽吸血栓切除术,术后肾功能很快恢复。该病例结果表明,导管抽吸血栓切除术在应激性心肌病血栓栓塞治疗中是有效的。