Left ventricular thrombosis after blunt chest trauma.
A 22-year-old man was admitted to our observation with left ventricular thrombus arising after blunt chest trauma occurring during a ski accident one year before. None was obtained from a review of instrumental and laboratory data at trauma time. Transesophageal echocardiography showed an intraventricular thrombus and severe hypokinesia at the apex. Standard cardiac surgery procedure was performed and postoperative period was uneventful. Echocardiography controls at 6/12 months showed a normal apex kinesia. This case shows the importance of hospitalization, hemodynamics monitorization and late serial echocardiographic controls for timely diagnosis and management of myocardial contusion and consecutive ventricular thrombus formation to prevent life-threatening complications.
Ruvolo
G
G
Institute of Cardiac Surgery, University of Rome La Sapienza, Rome, Italy.
Fattouch
K
K
Speziale
G
G
Macrina
F
F
Tonelli
E
E
Marino
B
B
D000328:Adult; D017548:Echocardiography, Transesophageal; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D012865:Skiing / Q000293:injuries; D013898:Thoracic Injuries / Q000150:complications*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*; D013997:Time Factors; D014949:Wounds, Nonpenetrating / Q000150:complications*