[Transesophageal echography and left intraventricular echo-contrast. Complete regression of a large thrombus of the left ventricle with anticoagulant therapy].
The authors report the case of a 69 year old man with a large left ventricular thrombosis complicating anterior myocardial infarction occurring three years previously for which anticoagulant therapy had to be withdrawn. The discussion is based around the large size of the thrombus, its complete regression with anticoagulant therapy (heparin and coumarin-derivative) and also around the detection of spontaneous echo contrast in the left ventricle by transoesophageal echocardiography. This case underlines the probable risk of withdrawing anticoagulant therapy in patients with severe left ventricular dysfunction and left ventricular spontaneous contrast.
Service de cardiologie, centre hospitalier Gilles de Corbeil, Corbeil-Essonnes.
B
B
Olivier
H
H
Lardoux
M
M
Pezzano
C
C
Mathieu-Roleau
F
F
Koukoui
Y
Y
Louvard
D000368:Aged; D000925:Anticoagulants / Q000627:therapeutic use; D017548:Echocardiography, Transesophageal; D006331:Heart Diseases / Q000000981:diagnostic imaging* / Q000188:drug therapy; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000150:complications / Q000188:drug therapy; D013927:Thrombosis / Q000000981:diagnostic imaging* / Q000188:drug therapy; D016896:Treatment Outcome; D016277:Ventricular Function, Left
D000925:Anticoagulants
Echographie transoesophagienne et contraste spontané intraventriculaire gauche. Résolution complète d'un volumineux thrombus du ventricle gauche sous anticoagulants.