Percutaneous Catheter Thrombus Aspiration of Right Renal Infarction Caused by Left Ventricular Thrombi due to Takotsubo Cardiomyopathy

Risa Kishikawa; Takahiro Tanaka; Masaki Hashimoto; Kei Honda; Yasutoshi Omori; Akiko Ishihara; Yoshiro Kamoi

doi:10.1536/ihj.19-447

This article has now been updated. Please use the final version.

Percutaneous Catheter Thrombus Aspiration of Right Renal Infarction Caused by Left Ventricular Thrombi due to Takotsubo Cardiomyopathy

Risa Kishikawa, Takahiro Tanaka, Masaki Hashimoto, Kei Honda, Yasutoshi Omori, Akiko Ishihara, Yoshiro Kamoi

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Keywords: Thromboembolic complications, Acute systemic infarction, Catheter aspiration thrombectomy

JOURNAL FREE ACCESS Advance online publication

Article ID: 19-447

DOI https://doi.org/10.1536/ihj.19-447

The final version of this article is now available: Vol. 61 (2020), No. 2 pp. 400-403

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Abstract

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.

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