scholarly journals Renal Infarction and Decreased Splenic Perfusion Secondary to a Left Ventricular Thrombus: A Case Report

2021 ◽  
Vol 4 (2) ◽  
pp. 114-118
Author(s):  
Sahib Bhatia ◽  
Salim Chamoun ◽  
Ashwin Sidhu ◽  
Muhammad Zafar ◽  
Nalin Ranasinghe ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Left Kidney ◽  
Left Ventricular ◽  
Left Ventricular Thrombus ◽  
Urgent Care ◽  
Renal Infarction ◽  
Reduced Ejection Fraction ◽  
Ventricular Thrombus ◽  
History Of ◽  
Artery Disease

We report a case of a 67-year-old man who presented to urgent care with a one-week history of left-sided abdominal pain and oliguria. Over the past month, he reported feeling fatigued as well as noticed decreased urine output. The patient does have a significant cardiac medical history that includes coronary artery disease with a previous myocardial infarction, reduced ejection fraction, and hypertension. Imaging studies were conducted which revealed the likely etiology of his current symptoms. A transthoracic echocardiogram (TTE) revealed the presence of a large non-mobile apical thrombus occupying most of the apex of the left ventricle. Computed Tomography (CT) confirmed an apical left ventricular thrombus and showed decreased perfusion to the spleen and ischemia/infarction of the left kidney. The patient was initially treated with heparin but subsequently given enoxaparin with bridging to warfarin. He began to feel better with less left flank pain. Although this presentation of an LV thrombus is a rare occurrence, it is important for physicians to consider abdominal pain as a presenting complaint.

Incidence and Natural History of Left Ventricular Thrombus Following Anterior Wall Acute Myocardial Infarction

1997 ◽  
Vol 80 (4) ◽  
pp. 442-448 ◽  
Author(s):  
Sally C. Greaves ◽  
Guang Zhi ◽  
Richard T. Lee ◽  
Scott D. Solomon ◽  
Jean MacFadyen ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Natural History ◽  
Anterior Wall ◽  
Left Ventricular ◽  
Left Ventricular Thrombus ◽  
Ventricular Thrombus ◽  
History Of

scholarly journals Acute renal infarction due to left ventricular thrombus: About a rare case and literature analysis

2021 ◽  
pp. 101922
Author(s):  
Anouar EL. Moudane ◽  
Yacoub Ahmed ◽  
Ibrahim Boukhannous ◽  
Abdessamad Motaouakil ◽  
Mohamed Mokhtari ◽  
...  
Keyword(s):  
Rare Case ◽  
Left Ventricular ◽  
Left Ventricular Thrombus ◽  
Renal Infarction ◽  
Literature Analysis ◽  
Acute Renal Infarction ◽  
Ventricular Thrombus

A Prothrombotic State in Patients With a History of Left Ventricular Thrombus

2019 ◽  
Vol 123 (8) ◽  
pp. 1358-1363 ◽  
Author(s):  
Michał Ząbczyk ◽  
Rafal Meus ◽  
Krzysztof Piotr Malinowski ◽  
Joanna Natorska ◽  
Anetta Undas
Keyword(s):  
Left Ventricular ◽  
Left Ventricular Thrombus ◽  
Prothrombotic State ◽  
Ventricular Thrombus ◽  
History Of

scholarly journals Surgical Extirpation of Apical Left Ventricular Thrombus in Takotsubo Cardiomyopathy

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Tetsuya Niino ◽  
Satoshi Unosawa
Keyword(s):  
Ejection Fraction ◽  
Takotsubo Cardiomyopathy ◽  
Postoperative Recovery ◽  
Left Ventricular ◽  
Left Ventricular Thrombus ◽  
St Segment Elevation ◽  
Reduced Ejection Fraction ◽  
Ventricular Thrombus ◽  
St Segment

We report a patient with takotsubo cardiomyopathy who underwent surgical resection of apical left ventricular thrombus. A 59-year-old woman was transferred to our hospital in shock with hypothermia and diabetic ketoacidosis. The electrocardiogram showed ST segment elevation, while echocardiography revealed a reduced ejection fraction with apical and midventricular akinesis. Emergency coronary angiography showed normal coronary arteries, so takotsubo cardiomyopathy was diagnosed. Follow-up echocardiography revealed improvement of the ejection fraction. A mobile apical thrombus was also detected. Thrombectomy was performed via a left apical incision and postoperative recovery was uneventful.

scholarly journals A Universal New Definition of Heart Failure With Improved Ejection Fraction for Patients With Coronary Artery Disease

2021 ◽  
Vol 12 ◽  
Author(s):  
Haozhang Huang ◽  
Jin Liu ◽  
Min Lei ◽  
Zhou Yang ◽  
Kunming Bao ◽  
...  
Keyword(s):  
Heart Failure ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Ejection Fraction ◽  
Coronary Intervention ◽  
Left Ventricular ◽  
Reduced Ejection Fraction ◽  
History Of ◽  
Artery Disease ◽  
Definition Of

Aims: The aims of this study were to describe the characteristics and outcomes of the universal new definition of heart failure with improved ejection fraction (HFimpEF) and to identify predictors for HFimpEF among patients with coronary artery disease (CAD).Methods: CAD subjects with heart failure with reduced ejection fraction (HFrEF) (EF ≤ 40%) at baseline were enrolled from the real-world registry of the Cardiorenal ImprovemeNt study from January 2007 to December 2018. The new definition of HFimpEF was defined as left ventricular EF (LVEF) of≤40% at baseline and with improvement of up to 40% and at least a ≥ 10% increase during 1 month to 1 year after discharge.Results: Of the 747 CAD patients with HFrEF (86.7% males, mean age: 61.4 ± 11 years), 267 (35.7%) patients conformed to the new HFimpEF definition. Patients with HFimpEF were younger (adjusted odds ratio [aOR]: 0.98 [0.97–0.99]) and had a higher rate of hypertension (aOR:1.43 [1.04–1.98]), lower rate of percutaneous coronary intervention (PCI) treatment at the time of detection of HFrEF (aOR: 0.48 [0.34–0.69]), history of PCI (aOR: 0.51 [0.28–0.88]), history of acute myocardial infarction (aOR: 0.40 [0.21–0.70]), and lower left ventricular end diastolic diameter (aOR: 0.92 [0.90–0.95]). During 3.3-year follow-up, patients with HFimpEF demonstrated lower rates of long-term all-cause mortality (13.1% vs. 20.8%, aHR: 0.61[0.41–0.90]).Conclusion: In our study, CAD patients with HFimpEF achieved a better prognosis compared to those with persistent HFrEF. Patients with CAD meeting the criteria for the universal definition of HFimpEF tended to be younger, presented fewer clinical comorbidities, and had lower left ventricular end diastolic diameter.

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