Removal of a Left Ventricular Thrombus Associated with Acute Myocarditis via Left Ventriculotomy
10.4326/jjcvs.42.232
- VernacularTitle:急性心筋炎に伴った左室内血栓に対し左室切開アプローチにて血栓除去を行った1例
- Author:
Kenta Imai
;
Nobuhisa Ohno
;
Ayano Futsuki
;
Mamoru Hamuro
;
Kosuke Yoshizawa
;
Eiji Yoshikawa
;
Keiichi Fujiwara
- Publication Type:Journal Article
- Keywords:
acute myocarditis;
left ventricular thrombus;
left venticulotomy
- From:Japanese Journal of Cardiovascular Surgery
2013;42(3):232-235
- CountryJapan
- Language:Japanese
-
Abstract:
A 41-year-old man was referred to our hospital suffering from pyrexia. Echocardiogram showed diffuse severe hypokinesis of the left ventricle. The patient was treated medically under a diagnosis of acute myocarditis and anticoagulation therapy had been started. However a large mobile thrombus and multiple small thrombi were detected in the left ventricle 2 days after admission. Because of the deterioration of his left ventricular function (LVEF 14%), he was treated medically with careful monitoring of the thrombi by echocardiogram. His left ventricular function started to improve 3 days after admission (LVEF 27%), and then surgical removal of the thrombi was performed through left ventriculotomy. His postoperative course was uneventful. LVEF was improved to 60% at discharge. He is doing well without any signs of embolic event at 2 years postoperatively. Left ventriculotomy is one of the useful methods for removal of left ventricular thrombus associated with acute myocarditis, if the procedure is performed during the recovery phase.
