Anticoagulant Therapy for Left Ventricular Thrombosis after Dor Procedure.
- Author:
Man Jong BAEK
1
;
Chan Young NA
;
Sam Se OH
;
Woong Han KIM
;
Sung Wook WHANG
;
Cheol LEE
;
Yunhee CHANG
;
Won Min JO
;
Jae Hyun KIM
;
Hong Ju SEO
;
Ho Kyong KANG
;
Hyun Soo MOON
;
Young Kwan PARK
;
Chong Whan KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute, Korea. koreaheartsurgeon@hotmail.com
- Publication Type:Case Report
- Keywords:
Thrombosis;
Heart ventricle, left;
Heart ventricle, surgery;
Heart aneurysm
- MeSH:
Aneurysm;
Cardiomyopathies;
Dyskinesias;
Embolism;
Follow-Up Studies;
Heart Aneurysm;
Heparin;
Humans;
Infarction;
Magnetic Resonance Imaging;
Male;
Middle Aged;
Thrombosis*;
Transplants;
Ventricular Dysfunction, Left;
Warfarin
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2003;36(7):518-522
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Left ventricular thrombosis is a frequent and potentially dangerous complication in acute myocardiac infarction, but its occurrence and adequate therapy has not been known in patients with Dor procedure for the ischemic cardiomyopathy. We report a patient, 45 year-old male, who had a new left ventricular thrombus developed after coronary arterial bypass graft, Dor procedure, and removal of the left ventricular thrombus for ischemic cardiomyopathy. Left ventricular thrombus was disappeared on the follow-up cardiac MRI following intravenous heparin injection and oral coumadin therapy. This case suggest that anticoagulation therapy may prevent patients with the severe left ventricular dysfunction and apical aneurysm and dyskinesia from developing the left ventricular thrombus, and that thrombi will resolve without clinical evidence of systemic embolism.
