Video assisted, transaortic removal of left ventricular thrombus during concurrent cardiac surgery: a case report
| Autor: | Nicholas Collins, Claudia Villanueva, Aditya Eranki, Peng Seah |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
Pulmonary and Respiratory Medicine Aortic valve medicine.medical_specialty RD1-811 Coronary artery bypass grafting Case Report Coronary Artery Disease Valvular heart surgery Coronary artery disease Aortic valve replacement Anesthesiology Internal medicine medicine Humans RD78.3-87.3 Myocardial infarction cardiovascular diseases Coronary Artery Bypass Thrombus Left ventricular thrombus Ischemic cardiomyopathy business.industry Thrombosis Aortic Valve Stenosis General Medicine Cardiac surgery medicine.disease medicine.anatomical_structure Aortic Valve Cardiology cardiovascular system Surgery Cardiology and Cardiovascular Medicine business Video assisted surgery |
| Zdroj: | Journal of Cardiothoracic Surgery, Vol 16, Iss 1, Pp 1-4 (2021) Journal of Cardiothoracic Surgery |
| ISSN: | 1749-8090 |
| Popis: | Introduction Left ventricular (LV) thrombus is a complication of acute myocardial infarction and is associated with systemic thromboembolism. We describe a trans-aortic endoscopic approach to the removal of an LV thrombus in a patient undergoing concurrent coronary artery bypass grafting and aortic valve replacement. Case presentation A 47 year old male presented following an embolic middle cerebral artery stroke and underwent transthoracic echocardiography demonstrating a mobile LV thrombus. Additional investigation revealed a moderately stenosed bicispid aortic valve, two vessel coronary artery disease and ischemic cardiomyopathy. The patient underwent early surgery to reduce the risk of further embolic episodes. A trans-aortic approach was utilized with videoscopy and single shafted instrumentation to aide in removal of the thrombus. The patient then underwent aortic valve replacement and coronary artery bypass grafting. Conclusion We report an alternative technique for the removal of a left ventricular thrombus in a patient undergoing concurrent coronary and aortic valve surgery. The transaortic video-assisted approach provided excellent visualisation of the apex and near complete removal of the thrombus without damaging the surrounding trabeculae. The main benefit of this technique is sparing of LV tissue, thereby preserving left ventricular function. |
| Databáze: | OpenAIRE |
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