Mesenteric ischemia following large left ventricular fibroid thrombosis due to myocardial infarction: A case report

Azari, Ali; Amini, Omidreza; Lakziyan, Rasool; Sarchahi, Zohreh

doi:10.1016/j.ijscr.2021.105833

International Journal of Surgery Case Reports

2021

DOI: 10.1016/j.ijscr.2021.105833

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Mesenteric ischemia following large left ventricular fibroid thrombosis due to myocardial infarction: A case report

Ali Azari

Omidreza Amini

Rasool Lakziyan

et al.

Abstract: Highlights Left ventricular thrombosis (LVT) is commonly seen in patients with decreased systolic function. The patient was underwent mesenteric ischemia during hospitalization but the diagnosis of mesenteric ischemia prior to the patient's visit is not unlikely.

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2024

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Left ventricle pedunculated thrombi risks and outcomes: a case report and literature review

Ali,

Sakr

2024

J. vasc. bras.

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A 42-year-old male with ischemic cardiomyopathy presented with acute bilateral femoral artery embolization. After management with embolectomy and fasciotomy in both femoral arteries, transthoracic echocardiography revealed two pedunculated highly mobile left ventricle (LV) thrombi. Given the procedural risk, anticoagulation therapy was recommended over surgery. However, the bleeding risk impeded the continuation of anticoagulation, which increased the thrombus size. Multiorgan failure and disseminated intravascular coagulopathy followed and the patient died. We also systematically reviewed the PubMed and Scopus databases for pedunculated LV thrombi cases and retrieved 74 and 63 reports respectively. Of these, 37 relevant reports (45 cases) plus 11 reports from the manual search were included for data extraction, a total of 56 cases besides our case. Based on the etiologies and risks, LV thrombi are predictable and preventable, especially after ischemic events. A clear diagnostic algorithm and vigilant follow-up are needed as well as multidisciplinary management once a diagnosis is confirmed.

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Left ventricle pedunculated thrombi risks and outcomes: a case report and literature review

Ali,

Sakr

2024

J. vasc. bras.

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Mesenteric ischemia following large left ventricular fibroid thrombosis due to myocardial infarction: A case report

Abstract: Highlights Left ventricular thrombosis (LVT) is commonly seen in patients with decreased systolic function. The patient was underwent mesenteric ischemia during hospitalization but the diagnosis of mesenteric ischemia prior to the patient's visit is not unlikely.

Cited by 1 publication

References 15 publications

Left ventricle pedunculated thrombi risks and outcomes: a case report and literature review

Left ventricle pedunculated thrombi risks and outcomes: a case report and literature review

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