Left ventricular thrombus in patient with nonischemic cardiomyopathy: A case report.

Autor: Pham TTT; Department of Internal medicine, Can Tho S.I.S General Hospital, Can Tho, Vietnam., Le TM; Department of Digital Subtraction Angiography, Can Tho S.I.S General Hospital, Can Tho, Vietnam., Tran CC; Department of Digital Subtraction Angiography, Can Tho S.I.S General Hospital, Can Tho, Vietnam., Nguyen KD; Department of Internal medicine, Can Tho S.I.S General Hospital, Can Tho, Vietnam., Nguyen ADQ; Department of Radiology, Can Tho S.I.S General Hospital, Can Tho, Vietnam., Nguyen CD; Department of Cardiology, Can Tho S.I.S General Hospital, Can Tho, Vietnam., Nguyen CM; Department of Cardiology, Can Tho S.I.S General Hospital, Can Tho, Vietnam., Nguyen TT; Department of Internal Medicine, Faculty of Medicine, Can Tho University of Medicine and Pharmacy, 179 Nguyen Van Cu, Can Tho city, Vietnam., Tran LMB; Thoracic and Cardiovascular Surgery Department, Faculty of Medicine, University of Medicine and Pharmacy at HoChi Minh City, Ho Chi Minh city, Vietnam.; Department of Thoracic and Vascular Surgery, University Medical Center Ho Chi Minh City, Ho Chi Minh City, Vietnam.
Jazyk: angličtina
Zdroj: Radiology case reports [Radiol Case Rep] 2024 Aug 24; Vol. 19 (11), pp. 5241-5247. Date of Electronic Publication: 2024 Aug 24 (Print Publication: 2024).
DOI: 10.1016/j.radcr.2024.07.179
Abstrakt: Left ventricular thrombus (LVT) is a severe consequence that typically follows acute myocardial infarction (MI) and can occur in nonischemic cardiomyopathies. In patients who have experienced an ST-segment elevation acute myocardial infarction (STEMI), LVT is seen up to 15% of the time; for patients without an ischemic cardiomyopathy, it is only 2% to 36% of the time. According to Virchow's triad, the cornerstone of LVT formation includes endothelial injury, blood stasis, and hypercoagulability. However, LVT increases morbidity and mortality in patients with both ischemic and nonischemic cardiomyopathies by increasing the risk of stroke or systemic embolism. Studies on nonischemic etiology are limited, and the majority of LVT case series concentrate on ischemic cardiomyopathies. We present this case with the nonischemic cardiomyopathies caused by LVT. Specifically, the patient underwent coronary artery assessment using photon-counting computed tomography, which is among the most advanced systems worldwide.
(© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.)
Databáze: MEDLINE