Removal of a giant left ventricular thrombus after myocardial infarction due to dissection of left anterior descending artery

被引:1
作者
Seppelt, Philipp C. [1 ]
Brcic, Andreas [2 ]
Karck, Matthias [3 ]
Szabo, Gabor [3 ]
机构
[1] Johann Wolfgang Goethe Univ Hosp, Dept Cardiol, Theodor Stern Kai 7, D-60590 Frankfurt, Germany
[2] Univ Hosp Heidelberg, Dept Anesthesiol, Heidelberg, Germany
[3] Univ Hosp Heidelberg, Dept Cardiac Surg, Heidelberg, Germany
关键词
LV-thrombus; Thrombectomy; LAD-dissection;
D O I
10.1093/icvts/ivx020
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Left ventricular thrombus is a frequent complication after myocardial infarction and is associated with high risk for arterial embolic complications. In addition to oral anticoagulation, surgical thrombectomy may be a promising treatment for large and mobile thrombus. We report the rare case of a 27-year-old patient who presented with a giant left ventricular thrombus after expanded and silent myocardial infarction caused by spontaneous dissection of the left anterior descending coronary artery. As conservative therapy by oral anticoagulation had failed, the thrombus was removed by performing left ventriculotomy.
引用
收藏
页码:964 / 966
页数:3
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