Left ventricular thrombectomy in myocarditis: the epicardial scan & video-assisted transaortic approach.
Minim Invasive Ther Allied Technol
; 27(2): 101-104, 2018 Apr.
Article
in En
| MEDLINE
| ID: mdl-28784008
ABSTRACT
In a 23-year-old man having myocarditis in the context of eosinophilic granulomatosis with polyangiitis, a mobile left ventricular apical thrombus was found with transthoracic echocardiography. Its surgical removal was established because there were no signs of resizing after effective intravascular anticoagulation therapy. Surgery was carried out via a median sternotomy with cardiopulmonary bypass. The site of endocardial implantation of the thrombus was identified with epicardial ultrasonography scan. The trans-aortic approach was adopted to avoid complications such as ventricular dysfunction and arrhythmias secondary to ventricular incision. Real-time imaging of the complete removal was obtained with optical instruments.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Thrombosis
/
Churg-Strauss Syndrome
/
Heart Diseases
/
Cardiac Surgical Procedures
/
Heart Ventricles
Type of study:
Diagnostic_studies
/
Etiology_studies
/
Prognostic_studies
Limits:
Adult
/
Humans
/
Male
Language:
En
Journal:
Minim Invasive Ther Allied Technol
Journal subject:
TERAPEUTICA
Year:
2018
Document type:
Article
Affiliation country:
Italy