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Systemic embolism in takotsubo syndrome.

Abstract：

:A 57-year-old woman with acute left leg ischemia due to popliteal artery occlusion and deep T-wave inversion at ECG revealed she had suffered, the day before, from typical chest pain after a confrontational argument; yet, she had not sought medical assistance. Echocardiography showed left ventricular wall motion abnormalities consistent with the diagnosis of emotional stress-induced takotsubo syndrome. Coronary angiography ruled out obstructive atherosclerotic disease and left ventriculography confirmed apical ballooning with evolving thrombosis. Left leg angiography demonstrated diffuse embolisation of the popliteal artery. Ventricular thrombosis is a complication of takotsubo syndrome and has been associated with adverse events supposed to be due to a cardioembolic mechanism, in particular cerebro-vascular accidents. To the best of our knowledge, this is the first direct visualization of systemic cardiogenic embolism in takotsubo syndrome. Physicians should be aware that ventricular thrombosis may be present in the earliest stages of the disease and that emboli dislocation can occur even before wall motion normalization.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Andò G,Saporito F,Trio O,Cerrito M,Oreto G,Arrigo F

doi

10.1016/j.ijcard.2007.12.074

subject

Has Abstract

pub_date

2009-05-01 00:00:00

pages

e42-3

issue

1

eissn

0167-5273

issn

1874-1754

pii

S0167-5273(08)00129-0

journal_volume

134

pub_type

信件

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