title: A Left Ventricular Thrombus in a Patient With Primary Antiphospholipid Syndrome Removed Under Thoracoscopic Support.
abstract: The antiphospholipid syndrome is an autoimmune disorder characterized by vascular thrombosis. Left ventricular thrombus with antiphospholipid syndrome is rare, and there are few reports regarding surgical resection of such cases. We report the case of a 45-year-old woman who had been diagnosed as having primary antiphospholipid syndrome and was admitted to our hospital for treatment of left ventricular thrombus detected by an echocardiography. The thrombus was completely removed using video-assisted thoracoscopy through a right minithoracotomy. Left ventricular thrombectomy through a right minithoracotomy in a patient with antiphospholipid syndrome has not been previously reported. This approach is less invasive and more effective in such coagulation system disorders.
authors.affiliation: Department of Cardiovascular Surgery, Sakakibara Heart Institute of Okayama, Kita-ku, Okayama, Japan. Electronic address: kota_sz@yahoo.co.jp.
authors.forename: Kota
authors.initials: K
authors.lastname: Suzuki
authors.affiliation: Department of Cardiovascular Surgery, Sakakibara Heart Institute of Okayama, Kita-ku, Okayama, Japan.
authors.forename: Toshinori
authors.initials: T
authors.lastname: Totsugawa
authors.affiliation: Department of Cardiovascular Surgery, Sakakibara Heart Institute of Okayama, Kita-ku, Okayama, Japan.
authors.forename: Arudo
authors.initials: A
authors.lastname: Hiraoka
authors.affiliation: Department of Cardiovascular Surgery, Sakakibara Heart Institute of Okayama, Kita-ku, Okayama, Japan.
authors.forename: Kentaro
authors.initials: K
authors.lastname: Tamura
authors.affiliation: Department of Cardiovascular Surgery, Sakakibara Heart Institute of Okayama, Kita-ku, Okayama, Japan.
authors.forename: Genta
authors.initials: G
authors.lastname: Chikazawa
authors.affiliation: Department of Cardiovascular Surgery, Sakakibara Heart Institute of Okayama, Kita-ku, Okayama, Japan.
authors.forename: Atsuhisa
authors.initials: A
authors.lastname: Ishida
authors.affiliation: Department of Cardiovascular Surgery, Sakakibara Heart Institute of Okayama, Kita-ku, Okayama, Japan.
authors.forename: Taichi
authors.initials: T
authors.lastname: Sakaguchi
authors.affiliation: Department of Cardiovascular Surgery, Sakakibara Heart Institute of Okayama, Kita-ku, Okayama, Japan.
authors.forename: Hidenori
authors.initials: H
authors.lastname: Yoshitaka
mesh_terms: D016736:Antiphospholipid Syndrome / Q000150:complications* / Q000175:diagnosis; D015150:Echocardiography, Doppler; D005260:Female; D005500:Follow-Up Studies; D006331:Heart Diseases / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006352:Heart Ventricles / Q000473:pathology / Q000601:surgery; D006801:Humans; D021621:Imaging, Three-Dimensional; D008875:Middle Aged; D013906:Thoracoscopy / Q000379:methods*; D017131:Thrombectomy / Q000379:methods*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D016896:Treatment Outcome