Department of Cardiology, University of Arizona College of Medicine-Phoenix, Phoenix, Arizona, USA.
Echocardiography. 2023 Nov;40(11):1280-1284. doi: 10.1111/echo.15692. Epub 2023 Sep 19.
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.
妊娠和产后时期是已知的高凝状态。心腔中部 Takotsubo 心肌病(TCM)较为罕见,仅占所有 Takotsubo 病例的约 14%。心腔中部 TCM 中左心室血栓(LVT)极为罕见,约占 1%的病例。我们描述了一例年轻女性,产后 1 周,在心腔中部 TCM 中出现急性 LVT 的情况,并讨论了这种罕见表现的显著影像学和临床处理方法。