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

Int Heart J. 2020 Mar 28;61(2):400-403. doi: 10.1536/ihj.19-447. Epub 2020 Mar 14.

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.

Keywords: Acute systemic infarction; Catheter aspiration thrombectomy; Thromboembolic complications.

Publication types

  • Case Reports

MeSH terms

  • Female
  • Humans
  • Infarction / etiology
  • Infarction / therapy*
  • Kidney / blood supply*
  • Middle Aged
  • Takotsubo Cardiomyopathy / complications*
  • Thrombectomy*
  • Thromboembolism / complications
  • Thromboembolism / diagnostic imaging
  • Thromboembolism / therapy*