• Ann. Thorac. Surg. · Jul 1998

    Case Reports

    Video-assisted cardioscopy for left ventricular thrombectomy in a child.

    • I L Mazza, J P Jacobs, A Aldousany, A C Chang, and R P Burke.
    • Department of Cardiology, Miami Children's Hospital, Florida 33155-4069, USA.
    • Ann. Thorac. Surg. 1998 Jul 1; 66 (1): 248-50.

    AbstractLeft ventricular thrombus is a complication of myocardial infarction, ventricular aneurysm, cardiomyopathy, and myocarditis. Left ventriculotomy has been the standard approach for removal of left ventricular thrombus. This approach has produced an unacceptable incidence of ventricular dysfunction, arrhythmias, and aneurysm formation. We describe a case of left ventricular thrombus with systemic embolization in a patient with myocarditis. Video-assisted cardioscopy allowed visualization and removal of the thrombus via an aortotomy, thereby avoiding a left ventriculotomy.

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