Korean J Thorac Cardiovasc Surg.  2003 Jul;36(7):518-522.

Anticoagulant Therapy for Left Ventricular Thrombosis after Dor Procedure

Affiliations
  • 1Department of Thoracic and Cardiovascular Surgery, Sejong General Hospital, Sejong Heart Institute, Korea. koreaheartsurgeon@hotmail.com
  • 2Department of Anesthesiology and Pain Clinic, College of Medicine, Hallym University, Korea.

Abstract

Left ventricular thrombosis is a frequent and potentially dangerous complication in acute myocardiac infarction, but its occurrence and adequate therapy has not been known in patients with Dor procedure for the ischemic cardiomyopathy. We report a patient, 45 year-old male, who had a new left ventricular thrombus developed after coronary arterial bypass graft, Dor procedure, and removal of the left ventricular thrombus for ischemic cardiomyopathy. Left ventricular thrombus was disappeared on the follow-up cardiac MRI following intravenous heparin injection and oral coumadin therapy. This case suggest that anticoagulation therapy may prevent patients with the severe left ventricular dysfunction and apical aneurysm and dyskinesia from developing the left ventricular thrombus, and that thrombi will resolve without clinical evidence of systemic embolism.

Keyword

Thrombosis; Heart ventricle, left; Heart ventricle, surgery; Heart aneurysm

MeSH Terms

Aneurysm
Cardiomyopathies
Dyskinesias
Embolism
Follow-Up Studies
Heart Aneurysm
Heparin
Humans
Infarction
Magnetic Resonance Imaging
Male
Middle Aged
Thrombosis*
Transplants
Ventricular Dysfunction, Left
Warfarin
Heparin
Warfarin
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