title: [Removal of biventricular thrombi for dilated cardiomyopathy in a patient with acute heart failure].
abstract: We report a rare case of a 49-year-old man with biventricular thrombi associated with idiopathic dilated cardiomyopathy (DCM). The patient was admitted with congestive heart failure and pneumonia. Echocardiography revealed mobile "ball-like" biventricular thrombi associated with significantly impaired left ventricular function and severe mitral/tricuspid valve regurgitation. The biventricular thrombi were removed and subsequently, a mitral annuloplasty, as well as papillary muscle approximation and tricuspid annuloplasty were performed. The postoperative course has been uneventful over a period of 2 years and neither thromboembolic events nor recurrence of congestive heart failure has been observed.
authors.affiliation: Department of Cardiovascular Surgery, Sapporo Higashi Tokushukai Hospital, Sapporo, Japan.
authors.forename: Noriyuki
authors.initials: N
authors.lastname: Hatanaka
authors.forename: Takashi
authors.initials: T
authors.lastname: Ueda
mesh_terms: D000208:Acute Disease; D002311:Cardiomyopathy, Dilated / Q000150:complications / Q000601:surgery*; D006333:Heart Failure / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D013923:Thromboembolism / Q000150:complications / Q000601:surgery*