Lysis of left ventricular thrombus with urokinase in a patient with alcohol heart disease.
A dilated cardiomyopathy patient whose congestive cardiac failure was made refractory to treatment by a left ventricular thrombus is reported. Thrombolectomy is usually the preferred therapeutic approach over anticoagulation and thrombolysis, as the latter approaches are said to carry the risk of stroke and haermorrhage. Facilities for thrombolectomy may not be available or affordable in our setting, and in some patients not practicable. Where 2-D echo facilities are available to indicate complete lysis, thrombolysis may be a way out.
Muoghalu
K
K
Department of Medicine, Jos University Teaching Hospital, Nigeria.
Menta
M
M
Okeahialam
B N
BN
Anjorin
F I
FI
D002310:Cardiomyopathy, Alcoholic / Q000150:complications*; D002311:Cardiomyopathy, Dilated / Q000150:complications*; D015150:Echocardiography, Doppler; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D006352:Heart Ventricles; D006801:Humans; D008297:Male; D008875:Middle Aged; D010960:Plasminogen Activators / Q000627:therapeutic use*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy* / Q000209:etiology; D014568:Urokinase-Type Plasminogen Activator / Q000627:therapeutic use*
D010960:Plasminogen Activators; D014568:Urokinase-Type Plasminogen Activator