Document Detail


Surgical removal of a left ventricular thrombus associated with cardiac sarcoidosis.
MedLine Citation:
PMID:  18208846     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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 mediastinal lymph node revealed non-caseating granulomas consistent with cardiac sarcoidosis. The patient was referred to a cardiologist for further treatment with prednisolone. This is a rare case of surgical removal of a left ventricular ball-like thrombus in a patient with cardiac sarcoidosis.
Authors:
Shinji Kanemitsu; Yoichiro Miyake; Manabu Okabe
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-01-21
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  7     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2008 Apr 
Date Detail:
Created Date:  2008-04-02     Completed Date:  2008-05-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  333-5     Citation Subset:  IM    
Affiliation:
Division of Cardiovascular Surgery, Kochi Health Sciences Center, Kochi, Japan. skanemitsu70@yahoo.co.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Anticoagulants / therapeutic use
Cardiomyopathies / complications*,  drug therapy,  pathology,  surgery
Cerebral Infarction / drug therapy,  etiology*,  pathology,  surgery
Glucocorticoids / therapeutic use
Heart Diseases / complications,  drug therapy,  etiology,  pathology,  surgery*
Heart Failure / drug therapy,  etiology*,  pathology,  surgery
Heart Ventricles / surgery
Humans
Lymphatic Diseases / etiology,  surgery
Magnetic Resonance Imaging
Male
Occipital Lobe / pathology
Prednisolone / therapeutic use
Sarcoidosis / complications*,  drug therapy,  pathology,  surgery
Thrombectomy*
Thrombosis / complications,  drug therapy,  etiology,  pathology,  surgery*
Tomography, X-Ray Computed
Treatment Outcome
Warfarin / therapeutic use
Chemical
Reg. No./Substance:
0/Anticoagulants; 0/Glucocorticoids; 50-24-8/Prednisolone; 81-81-2/Warfarin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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