Academic Journal
Acute arterial occlusion due to left ventricular thrombus of Takotsubo cardiomyopathy in a young adult: a case report
| العنوان: | Acute arterial occlusion due to left ventricular thrombus of Takotsubo cardiomyopathy in a young adult: a case report |
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| المؤلفون: | Yuudai Horiguchi, Takuo Hoshi, Aya Yoshimatsu, Mika Yoshida |
| المصدر: | JA Clinical Reports, Vol 4, Iss 1, Pp 1-5 (2018) |
| بيانات النشر: | SpringerOpen, 2018. |
| سنة النشر: | 2018 |
| المجموعة: | LCC:Anesthesiology LCC:Medical emergencies. Critical care. Intensive care. First aid |
| مصطلحات موضوعية: | Takotsubo cardiomyopathy, Acute arterial occlusion, Left ventricular thrombus, Anesthesiology, RD78.3-87.3, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
| الوصف: | Abstract Background Thromboembolism is a rare complication of Takotsubo cardiomyopathy. Importantly, an acute arterial occlusion needs rapid diagnosis and urgent treatment to help save the patient’s life. Here, we report a case of arterial occlusion due to ventricular thrombus of Takotsubo cardiomyopathy. Case presentation A woman in her 30s, without previous medical history, felt sudden strong pain on her right leg and was diagnosed with right femoral arterial occlusion. An emergency operation was subsequently performed to take out thrombus. The patient’s oxygenation deteriorated to 93% of hemoglobin saturation just after extubation and exacerbated in the intensive care unit. Transthoracic echocardiography revealed Takotsubo cardiomyopathy-like left ventricular wall motion abnormalities and left ventricular thrombus. Heparin treatment was immediately started. After 10 days, the thrombus disappeared and the left ventricular wall motion improved and she was discharged from the hospital. Conclusions The patient’s acute arterial occlusion in this case report was mainly caused by thrombus of cardiac origin. We suggest to routinely check echocardiography reports before surgery and perform anesthetic management carefully to better control the patient’s blood pressure and heart rhythm. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 2363-9024 |
| Relation: | http://link.springer.com/article/10.1186/s40981-018-0190-1; https://doaj.org/toc/2363-9024 |
| DOI: | 10.1186/s40981-018-0190-1 |
| URL الوصول: | https://doaj.org/article/deeda04e73b24feea1f0f2c588be73b4 |
| رقم الانضمام: | edsdoj.04e73b24feea1f0f2c588be73b4 |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 23639024 |
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| DOI: | 10.1186/s40981-018-0190-1 |