Massive Thromboembolism Owing to the Left Ventricular Thrombus Associated with the Hypereosinophilic Syndrome.
10.5090/kjtcs.2014.47.5.478
- Author:
Ji Seong KIM
1
;
Samina PARK
;
Hyung Kwan KIM
;
Yun Seok JEON
;
Seung Kee MIN
;
Ho Young HWANG
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Seoul National University Hospital, Seoul National University College of Medicine, Korea. scalpel@hanmail.net
- Publication Type:Case Report
- Keywords:
Hypereosinophilic syndrome;
Thromboembolism;
Heart ventricles
- MeSH:
Acute Pain;
Adult;
Aorta, Abdominal;
Arteries;
Cough;
Diagnosis;
Echocardiography;
Follow-Up Studies;
Heart Ventricles;
Humans;
Hypereosinophilic Syndrome*;
Immunosuppression;
Leg;
Recurrence;
Thorax;
Thrombectomy;
Thromboembolism*;
Thrombosis*;
Weight Loss
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2014;47(5):478-482
- CountryRepublic of Korea
- Language:English
-
Abstract:
A 39-year-old man presented with cough, chest discomfort, and weight loss. On the basis of the patient history and laboratory findings, he was diagnosed with the hypereosinophilic syndrome. Transthoracic echocardiography revealed a large thrombus in the left ventricle. Medical treatment with anticoagulation and immunosuppression was commenced immediately. Fourteen days after the initial diagnosis, the patient presented with acute pain in his right leg. Computed tomographic angiogram showed embolic occlusion of the infrarenal abdominal aorta and bilateral iliac (including common, external, and internal iliac) arteries. Emergent thromboembolectomy and left ventricular thrombectomy were performed. The postoperative course was uneventful, and the patient has undergone follow-up for 2 months without any evidence of recurrence of thromboembolism.
