Takahashi Hiroaki, Matsuo Jiro, Gotake Yasuko, Sugimoto Takaki
Department of Cardiovascular Surgery, Hyogo Prefectural Awaji Medical Center, Sumoto, Hyogo, Japan.
Int J Angiol. 2023 Feb 8;33(4):315-317. doi: 10.1055/s-0042-1759649. eCollection 2024 Dec.
Left ventricular thrombus is a complication of myocardial infarction, ventricular aneurysm, myocarditis, and cardiomyopathies, such as Takotsubo syndrome. We report the case of a 74-year-old woman who was diagnosed as left ventricular thrombus resulting from transient Takotsubo syndrome. The thrombus was completely removed using video-assisted thoracoscopy through right minithoracotomy. This approach is less invasive and can provide better visualization, thereby avoiding left ventriculotomy.
左心室血栓是心肌梗死、室壁瘤、心肌炎以及诸如应激性心肌病等心肌病的一种并发症。我们报告一例74岁女性患者,其被诊断为因短暂性应激性心肌病导致的左心室血栓。通过右胸小切口,利用电视辅助胸腔镜手术将血栓完全清除。这种方法侵入性较小,能提供更好的视野,从而避免了左心室切开术。