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Genç hastada sessiz enfarkt sonrası sol ventrikül apikal dev mobil trombüs: Olgu sunumu

Year 2020, Volume: 4 Issue: 5, 423 - 425, 01.05.2020
https://doi.org/10.28982/josam.673142

Abstract

Günümüzde perkütan koroner girişimler ve antikoagülan terapilerin dünya çapında yaygın kullanımı nedeniyle sol ventrikülde trombüs oluşma insidansı geçmişe göre daha azdır. Modern metodlara rağmen, özellikle sessiz enfarktlardan sonra olan ve geniş bir hasta popülasyonunda mortalite ve morbidite ile sonuçlanan tromboembolik komplikasyonlar ile karşılaşmaktayız. Yüksek emboli riski nedeniyle sol ventrikül trombüslerinin erken teşhisi kritik önem taşımaktadır. Sol ön inen koroner arterin total tıkanmasına bağlı sessiz enfarkt sonrası sol ventrikül apikal kısımda büyük, fragmante, ileri derecede mobil trombüs tanısı koyduğumuz ilginç ve nadir görülen 34 yaşındaki vakayı sunmaktayız. 

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References

  • 1. Tanaka D, Unai S, Diehl JT, Hirose H. Surgical removal of a large mobile left ventricular thrombus via left atriotomy. World Journal of Clinical Cases: WJCC. 2014;2(2):32.
  • 2. Wu JC, Solomon SD. Long-Term Consequences and Prognosis After Myocardial Infarction. Essential Echocardiography: A Companion to Braunwald's Heart Disease E-Book. 2018:204.
  • 3. Ates İ, Ulucan S, Kaya Z, Dogru M, Katlandur H, Keser A. Longitudinally Giant Left Ventricular Thrombus after Anterior Wall Myocardial Infarction. Acta Medica Anatolia. 2015;3(4).
  • 4. Domenicucci S, Chiarella F, Bellone P. Role of echocardiography in the assessment of left ventricular thrombus embolic potential after anterior acute myocardial infarction. Congestive Heart Failure. 2001;7(5):250-5.
  • 5. Chen C, Webster G, Morganroth J. Large mobile pedunculated left ventricular thrombus: Identification by two-dimensional echocardiography. Clinical Cardiology. 1981;4(4):189-92.
  • 6. Ye F, Silverstein BV, Khuddus MA, Bray CL, Lee AC. Giant Left Ventricular Thrombus in a Patient with Acute Ischemic Stroke: A Case Report and Minireview. Case Reports in Cardiology. 2018;2018.
  • 7. Nili M, Deviri E, Jortner R, Strasberg B, Levy MJ. Surgical removal of a mobile, pedunculated left ventricular thrombus: report of 4 cases. The Annals of Thoracic Surgery. 1988;46(4):396-400.
  • 8. Yalçın M, Katırcıoğlu EG, Yazman S, Tayfur KD, Ürkmez M. Troponin I levels before bypass surgery after acute myocardial infarction; When to operate? J Surg Med. 2018;2(3):228-32.

Giant mobile left ventricular apical thrombus following silent infarction in a young patient: A case report

Year 2020, Volume: 4 Issue: 5, 423 - 425, 01.05.2020
https://doi.org/10.28982/josam.673142

Abstract

Today, percutaneous coronary treatment and anticoagulation therapies are commonly used worldwide, which is why the incidence of reported left ventricular (LV) thrombus decreased. Despite modern methods, we still encounter thromboembolic complications resulting in morbidity and mortality in a large number of patients, especially after silent infarctions. Because of high embolism risk, early detection of LV thrombus is crucial. We present the rare and interesting case of a 34-year-old patient diagnosed with a large, fragmented, very mobile left ventricular apical thrombus after silent myocardial infarction due to total occlusion of left anterior descending coronary artery.

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References

  • 1. Tanaka D, Unai S, Diehl JT, Hirose H. Surgical removal of a large mobile left ventricular thrombus via left atriotomy. World Journal of Clinical Cases: WJCC. 2014;2(2):32.
  • 2. Wu JC, Solomon SD. Long-Term Consequences and Prognosis After Myocardial Infarction. Essential Echocardiography: A Companion to Braunwald's Heart Disease E-Book. 2018:204.
  • 3. Ates İ, Ulucan S, Kaya Z, Dogru M, Katlandur H, Keser A. Longitudinally Giant Left Ventricular Thrombus after Anterior Wall Myocardial Infarction. Acta Medica Anatolia. 2015;3(4).
  • 4. Domenicucci S, Chiarella F, Bellone P. Role of echocardiography in the assessment of left ventricular thrombus embolic potential after anterior acute myocardial infarction. Congestive Heart Failure. 2001;7(5):250-5.
  • 5. Chen C, Webster G, Morganroth J. Large mobile pedunculated left ventricular thrombus: Identification by two-dimensional echocardiography. Clinical Cardiology. 1981;4(4):189-92.
  • 6. Ye F, Silverstein BV, Khuddus MA, Bray CL, Lee AC. Giant Left Ventricular Thrombus in a Patient with Acute Ischemic Stroke: A Case Report and Minireview. Case Reports in Cardiology. 2018;2018.
  • 7. Nili M, Deviri E, Jortner R, Strasberg B, Levy MJ. Surgical removal of a mobile, pedunculated left ventricular thrombus: report of 4 cases. The Annals of Thoracic Surgery. 1988;46(4):396-400.
  • 8. Yalçın M, Katırcıoğlu EG, Yazman S, Tayfur KD, Ürkmez M. Troponin I levels before bypass surgery after acute myocardial infarction; When to operate? J Surg Med. 2018;2(3):228-32.
There are 8 citations in total.

Details

Primary Language English
Subjects Cardiovascular Surgery
Journal Section Case report
Authors

İbrahim Halil İnanç 0000-0003-4046-6748

Enes Alıç 0000-0003-0517-6243

Alper Karakuş 0000-0002-9632-395X

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Publication Date May 1, 2020
Published in Issue Year 2020 Volume: 4 Issue: 5

Cite

APA İnanç, İ. H., Alıç, E., & Karakuş, A. (2020). Giant mobile left ventricular apical thrombus following silent infarction in a young patient: A case report. Journal of Surgery and Medicine, 4(5), 423-425. https://doi.org/10.28982/josam.673142
AMA İnanç İH, Alıç E, Karakuş A. Giant mobile left ventricular apical thrombus following silent infarction in a young patient: A case report. J Surg Med. May 2020;4(5):423-425. doi:10.28982/josam.673142
Chicago İnanç, İbrahim Halil, Enes Alıç, and Alper Karakuş. “Giant Mobile Left Ventricular Apical Thrombus Following Silent Infarction in a Young Patient: A Case Report”. Journal of Surgery and Medicine 4, no. 5 (May 2020): 423-25. https://doi.org/10.28982/josam.673142.
EndNote İnanç İH, Alıç E, Karakuş A (May 1, 2020) Giant mobile left ventricular apical thrombus following silent infarction in a young patient: A case report. Journal of Surgery and Medicine 4 5 423–425.
IEEE İ. H. İnanç, E. Alıç, and A. Karakuş, “Giant mobile left ventricular apical thrombus following silent infarction in a young patient: A case report”, J Surg Med, vol. 4, no. 5, pp. 423–425, 2020, doi: 10.28982/josam.673142.
ISNAD İnanç, İbrahim Halil et al. “Giant Mobile Left Ventricular Apical Thrombus Following Silent Infarction in a Young Patient: A Case Report”. Journal of Surgery and Medicine 4/5 (May 2020), 423-425. https://doi.org/10.28982/josam.673142.
JAMA İnanç İH, Alıç E, Karakuş A. Giant mobile left ventricular apical thrombus following silent infarction in a young patient: A case report. J Surg Med. 2020;4:423–425.
MLA İnanç, İbrahim Halil et al. “Giant Mobile Left Ventricular Apical Thrombus Following Silent Infarction in a Young Patient: A Case Report”. Journal of Surgery and Medicine, vol. 4, no. 5, 2020, pp. 423-5, doi:10.28982/josam.673142.
Vancouver İnanç İH, Alıç E, Karakuş A. Giant mobile left ventricular apical thrombus following silent infarction in a young patient: A case report. J Surg Med. 2020;4(5):423-5.