title: Surgical removal of a left ventricular thrombus associated with cardiac sarcoidosis.
abstract: We report successful surgical management of a 31-year-old man with a left ventricular thrombus following heart failure due to cardiac sarcoidosis. Preoperative echocardiography showed diffuse hypokinesis and a mobile ball-like thrombus in the left ventricle. Computed tomography revealed a left ventricular tumor and bilateral hilar lymphadenopathy, while MRI of the brain showed small infarctions in the occipital lobe. Postoperative pathologic examination of a specimen from the left ventricular free wall and a mediastinal lymph node revealed non-caseating granulomas consistent with cardiac sarcoidosis. The patient was referred to a cardiologist for further treatment with prednisolone. This is a rare case of surgical removal of a left ventricular ball-like thrombus in a patient with cardiac sarcoidosis.
authors.affiliation: Division of Cardiovascular Surgery, Kochi Health Sciences Center, Kochi, Japan. skanemitsu70@yahoo.co.jp
authors.forename: Shinji
authors.initials: S
authors.lastname: Kanemitsu
authors.forename: Yoichiro
authors.initials: Y
authors.lastname: Miyake
authors.forename: Manabu
authors.initials: M
authors.lastname: Okabe
mesh_terms: D000328:Adult; D000925:Anticoagulants / Q000627:therapeutic use; D009202:Cardiomyopathies / Q000150:complications* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D002544:Cerebral Infarction / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D005938:Glucocorticoids / Q000627:therapeutic use; D006331:Heart Diseases / Q000150:complications / Q000188:drug therapy / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D006333:Heart Failure / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D006352:Heart Ventricles / Q000601:surgery; D006801:Humans; D008206:Lymphatic Diseases / Q000209:etiology / Q000601:surgery; D008279:Magnetic Resonance Imaging; D008297:Male; D009778:Occipital Lobe / Q000473:pathology; D011239:Prednisolone / Q000627:therapeutic use; D012507:Sarcoidosis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology / Q000601:surgery; D017131:Thrombectomy; D013927:Thrombosis / Q000150:complications / Q000188:drug therapy / Q000209:etiology / Q000473:pathology / Q000601:surgery*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014859:Warfarin / Q000627:therapeutic use
chemical_list: D000925:Anticoagulants; D005938:Glucocorticoids; D014859:Warfarin; D011239:Prednisolone