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Left ventricular thrombus capture by an intra-aortic filter device
S Martens1, M Dietrich, F Ozaslan
1Department for Thoracic and Cardiovascular Surgery, J. W. Goethe University Hospital, Frankfurt am Main, Germany. martens.herz@gmx.de
The Thoracic and Cardiovascular Surgeon
|November 29, 2002
Summary
Left ventricular thrombi pose a neurological risk during surgery. An intra-aortic filter device can prevent embolisation, safeguarding patients undergoing cardiac procedures.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
Background:
- Left ventricular aneurysmectomy carries a risk of neurological complications.
- Mobile, protruding thrombi increase the risk of embolisation during cardiac procedures.
Observation:
- A significant left ventricular thrombus was identified in a patient scheduled for complex cardiac surgery.
- The patient required coronary artery bypass grafting, left ventricular aneurysmectomy, and thrombectomy.
Findings:
- Neurological complications can arise from thrombus dislodgement during left ventricular luxation or incomplete removal.
- Application of an intra-aortic filter device is a potential strategy to prevent embolisation.
Implications:
- This case highlights the importance of considering embolic protection strategies in patients with left ventricular thrombi.
- Intra-aortic filters may mitigate neurological risks associated with left ventricular aneurysmectomy and thrombectomy.