Removal of a giant left ventricular thrombus after myocardial infarction due to dissection of left anterior descending artery.
Left ventricular thrombus is a frequent complication after myocardial infarction and is associated with high risk for arterial embolic complications. In addition to oral anticoagulation, surgical thrombectomy may be a promising treatment for large and mobile thrombus. We report the rare case of a 27-year-old patient who presented with a giant left ventricular thrombus after expanded and silent myocardial infarction caused by spontaneous dissection of the left anterior descending coronary artery. As conservative therapy by oral anticoagulation had failed, the thrombus was removed by performing left ventriculotomy.
Department of Cardiology, Johann Wolfgang Goethe-University Hospital, Frankfurt, Germany.
Philipp C
PC
Seppelt
Department of Anesthesiology, University Hospital Heidelberg, Heidelberg, Germany.
Andreas
A
Brcic
Department of Cardiac Surgery, University Hospital Heidelberg, Heidelberg, Germany.
Matthias
M
Karck
Department of Cardiac Surgery, University Hospital Heidelberg, Heidelberg, Germany.
Gábor
G
Szabó
D000328:Adult; D017023:Coronary Angiography; D003330:Coronary Vessel Anomalies / Q000150:complications* / Q000175:diagnosis; D017548:Echocardiography, Transesophageal; D006331:Heart Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine; D008297:Male; D009203:Myocardial Infarction / Q000150:complications* / Q000175:diagnosis; D017131:Thrombectomy / Q000379:methods*; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D014652:Vascular Diseases / Q000150:complications / Q000151:congenital* / Q000175:diagnosis
LAD-dissection; LV-thrombus; Thrombectomy