2007
DOI: 10.1510/icvts.2007.171090
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Surgical removal of a left ventricular thrombus associated with cardiac sarcoidosis

Abstract: We report successful surgical management of a 31-year-old man with a left ventricular thrombus following heart failure due to cardiac sarcoidosis. Preoperative echocardiography showed diffuse hypokinesis and a mobile ball-like thrombus in the left ventricle. Computed tomography revealed a left ventricular tumor and bilateral hilar lymphadenopathy, while MRI of the brain showed small infarctions in the occipital lobe. Postoperative pathologic examination of a specimen from the left ventricular free wall and a m… Show more

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Cited by 10 publications
(11 citation statements)
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“…All these conditions may have led to refractory cardiogenic shock with an unfortunate outcome. In spite of this, a few cases of cardiac sarcoidosis treated surgically with an uneventful course were reported including left ventricular aneurysmectomy due to resistant ventricular tachycardia, open mitral commissurotomy combined with left ventricular aneurysmectomy, left ventricular aneurysmectomy with mitral and tricuspid valve repairs, removal of a left ventricular thrombus associated with cardiac sarcoidosis, aortic valve replacement for regurgitation caused by sarcoidotic aortic root involvement, and a case of a large left atrial sarcoidotic mass presumed to be a myxoma …”
Section: Discussionmentioning
confidence: 99%
“…All these conditions may have led to refractory cardiogenic shock with an unfortunate outcome. In spite of this, a few cases of cardiac sarcoidosis treated surgically with an uneventful course were reported including left ventricular aneurysmectomy due to resistant ventricular tachycardia, open mitral commissurotomy combined with left ventricular aneurysmectomy, left ventricular aneurysmectomy with mitral and tricuspid valve repairs, removal of a left ventricular thrombus associated with cardiac sarcoidosis, aortic valve replacement for regurgitation caused by sarcoidotic aortic root involvement, and a case of a large left atrial sarcoidotic mass presumed to be a myxoma …”
Section: Discussionmentioning
confidence: 99%
“…In addition, an incision in the ventricular wall may increase the risk of bleeding, and ventriculotomy may potentially induce ventricular arrhythmia and poor function. [89] The surgical approach to LV masses can be made through the left atrium, aorta, or left ventricle. [10] Our surgical approach to the LV mass was through the left atrium.…”
Section: Discussionmentioning
confidence: 99%
“…34 Currently, it can be done under very special circumstances, such as before placement of a left ventricular assist device or if the thrombus is large, to prevent embolism. 35,36 ■ BLEEDING COMPLICATIONS WITH TRIPLE ANTITHROMBOTIC THERAPY…”
Section: ■ What Complications Arise From Left Ventricular Thrombosis?mentioning
confidence: 99%