Resolution of a large left ventricular thrombus with anticoagulation alone.
Dilated cardiomyopathy and the resultant left ventricular dysfunction are risk factors for thrombus formation in the heart, reflecting the intimate relationship between structure and function in this vital organ. Once formed, depending on size, location, and mobility, left ventricular thrombi have the tendency to embolize, sometimes with dire consequences. Proper management of these thrombi is still controversial. We present a case of an unusual large thrombus, which resolved with anticoagulation therapy alone, giving hope that more invasive intervention can safely be circumvented.
Zaidi
Syed-Mehdi H
SM
Departments of Cardiology, Riyadh Medical Complex, Riyadh,Kingdom of Saudi Arabia.. Syedmehdi5@hotmail.com
Al-Khuwaitir
Tarig S
TS
Wani
Bashir A
BA
Alafifi
Ezza
E
D000328:Adult; D000925:Anticoagulants / Q000008:administration & dosage*; D002311:Cardiomyopathy, Dilated / Q000150:complications / Q000175:diagnosis; D004334:Drug Administration Schedule; D017548:Echocardiography, Transesophageal; D005500:Follow-Up Studies; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000188:drug therapy*; D006352:Heart Ventricles / Q000187:drug effects / Q000473:pathology*; D006493:Heparin / Q000008:administration & dosage; D006801:Humans; D007262:Infusions, Intravenous; D008297:Male; D012720:Severity of Illness Index; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy*; D016896:Treatment Outcome; D014859:Warfarin / Q000008:administration & dosage
D000925:Anticoagulants; D014859:Warfarin; D006493:Heparin