Rapid resolution of left ventricular thrombus in antiphospholipid syndrome.
A 43-year-old male with recurrent cerebral infarctions and high titers of antiphospholipid antibodies was found to have a thrombus in his left ventricular outflow tract by transthoracic echocardiography. This thrombus disappeared after less than 24 hours of intravenous heparin therapy due to resolution or asymptomatic embolism. Left ventricular thrombi in patients with antiphospholipid syndrome and rapid disappearance of left ventricular thrombi with heparin therapy are infrequently reported occurrences.
Willens
Howard J
HJ
Department of Medicine, University of Miami School of Medicine, Jackson Memorial Hospital, Miami, Florida, USA. hwillens@med.miami.edu
Lowery
Maureen H
MH
Lopez
Edelman
E
Ewing
Marzyeh H
MH
Myerburg
Robert J
RJ
D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use*; D016736:Antiphospholipid Syndrome / Q000150:complications*; D004452:Echocardiography; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D006493:Heparin / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D013997:Time Factors
D000925:Anticoagulants; D006493:Heparin