A Case of Hypertrophic Cardiomyopathy with Two Times Thromboembolism and Intraventricular Thrombus
10.4326/jjcvs.39.137
- VernacularTitle:2回の右上腕動脈塞栓および左室内血栓を認めた肥大型心筋症（HCM）の1手術例
- Author:
Keitarou Koushi
;
Yasushi Tutumi
;
Osamu Monta
;
Yosuke Takahashi
;
Kimitoshi Kitani
;
Tomohiko Sakamoto
;
Hirokazu Ohashi
- Publication Type:Journal Article
- Keywords:
hypertrophic cardiomyopathy;
left ventricular aneurysm;
left ventricular thrombus;
left ventriculoplasty
- From:Japanese Journal of Cardiovascular Surgery
2010;39(3):137-140
- CountryJapan
- Language:Japanese
-
Abstract:
We present a rare case of a 59-year-old-man with a diagnosis of hypertrophic cardiomyopathy (HCM) complicated with left ventricular thrombus. He was admitted to our hospital because of acute re-occlusion of the right brachial artery. Thrombectomy was performed and reperfusion was obtained. Anti-coagulation therapy was started from that day. Four days after surgery, echocardiography revealed mobile thrombus in left ventricular apical aneurysm that was not detected on admission. An emergency thrombectomy and left ventriculoplasty was performed. The patient was discharged 22 days after surgery in good condition.
