title: [Recurrent systemic embolisation in a patient with a large thrombus in left ventricular aneurysm--case report].
abstract: A case of a 47-year-old female with the aneurysm of the left ventricle is presented. Several days prior to the hospitalization signs of femoral embolism emerged, which was treated with embolectomy. Echocardiographic examination revealed large thrombus in the cavity of the aneurysm with pedunculated surrounding echo. On the second day after the admission the symptoms of renal artery embolism occurred. Due to recurrent symptoms of peripheral emboli and the lack of a consent for the interventional treatment, fibrinolysis (Actilyse) was applied resulting in the reduction of the thrombus mass in the left ventricle. Subsequent Doppler ultrasound of the renal arteries showed normal flow pattern. During hospitalization general condition has gradually improved and the patient was discharged.
authors.affiliation: Klinika Kardiologii Akademii Medycznej, Białystok, Poland.
authors.forename: Małgorzata
authors.initials: M
authors.lastname: Knapp
authors.forename: Sławomir
authors.initials: S
authors.lastname: Dobrzycki
authors.forename: Włodzimierz J
authors.initials: WJ
authors.lastname: Musiał
authors.forename: Anna
authors.initials: A
authors.lastname: Tomaszuk-Kazberuk
authors.forename: Janusz
authors.initials: J
authors.lastname: Korecki
mesh_terms: D004452:Echocardiography; D017128:Embolectomy; D005260:Female; D005263:Femoral Artery / Q000000981:diagnostic imaging / Q000473:pathology; D005343:Fibrinolytic Agents / Q000008:administration & dosage; D006322:Heart Aneurysm / Q000150:complications*; D006801:Humans; D008875:Middle Aged; D012078:Renal Artery Obstruction / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D013923:Thromboembolism / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D015912:Thrombolytic Therapy / Q000379:methods; D010959:Tissue Plasminogen Activator / Q000008:administration & dosage; D018608:Ultrasonography, Doppler
chemical_list: D005343:Fibrinolytic Agents; D010959:Tissue Plasminogen Activator