• Ann Thorac Cardiovasc Surg · Jan 2014

    Case Reports

    Rapid progression of left ventricular thrombus with left ventricular dysfunction detected by preoperative transthoracic echocardiography.

    • Satoshi Kimura, Masayoshi Umesue, Sho Matsuyama, and Kanzi Matsui.
    • Department of Cardiovascular Surgery, Matsuyama Red Cross Hospital, Matsuyama, Ehime, Japan.
    • Ann Thorac Cardiovasc Surg. 2014 Jan 1; 20 (1): 74-5.

    AbstractWe report a successfully treated case of rapid progressive left ventricular (LV) thrombus with ischemic cardiomyopathy. Initially, the patient was scheduled to undergo only coronary artery bypass grafting. After two months, preoperative echocardiography revealed a previously undetected ball-like thrombus in the LV cavity. Surgical revascularization and thrombectomy were performed. No systemic embolism was associated with surgical manipulation during the perioperative period. Repeated preoperative evaluation for the presence of thrombus by transthoracic or transesophageal echocardiography is essential in cases of ischemic cardiomyopathy.

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