Korean J Thorac Cardiovasc Surg.  2014 Aug;47(4):434-436.

A Treatment Case of Endoscopic Removal of Left Ventricular Thrombus, During Coronary Artery Bypass Graft

• Park HS
• Ryu SM
• Cho SJ
• Park SM
• Lim SH

Abstract

Left ventricular thrombus is a common complication related to acute myocardial infarction. Removing this with an incision of the free wall of the left ventricle may cause fatal cardiac dysfunction or arrhythmias. Furthermore, performing incision and suture on the fragile myocardium of an acute myocardial infarction patient may cause serious bleeding complications. If there is a patient with left ventricular thrombus who needs thoracotomy for another reason, the case is attempted with the thought that if effective intraventricular visualization and manipulation can be done, fatalities caused by incision and suture may be reduced. For patients undergoing cardiopulmonary bypass, if intracardiac manipulation is required, an endoscope can be used, and given the potential complications after the incision and suturing of the infarcted tissue, the benefits are deemed sufficient.

Keyword

Thrombus; Coronary artery bypass grafting; Endoscopy

MeSH Terms

Arrhythmias, Cardiac
Cardiopulmonary Bypass
Coronary Artery Bypass*
Endoscopes
Endoscopy
Heart Ventricles
Hemorrhage
Humans
Myocardial Infarction
Myocardium
Sutures
Thoracotomy
Thrombosis*
Transplants*