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Pedunculated left ventricular thrombus--report of two cases

R M John1, M F Sturridge, R H Swanton

  • 1Department of Cardiology, Middlesex Hospital, London, U.K.

Postgraduate Medical Journal
|September 1, 1991
PubMed

Insights

Two patients with myocardial infarction developed pedunculated left ventricular thrombi, which were successfully removed via surgical thrombectomy. This highlights a rare complication and effective treatment for left ventricular thrombi post-myocardial infarction.

Area of Science:

  • Cardiology
  • Cardiovascular Surgery

Background:

  • Myocardial infarction (MI) can lead to the formation of left ventricular thrombi (LVT).
  • Pedunculated LVT represent a specific morphological subtype with potential embolic risk.

Observation:

  • Two patients with different types of myocardial infarction (subendocardial and Q wave) were diagnosed with pedunculated LVT.
  • Detection occurred during routine cardiac catheterization following the acute cardiac event.

Findings:

  • Both identified pedunculated left ventricular thrombi were successfully treated with surgical thrombectomy.
  • This indicates the feasibility and efficacy of surgical intervention for such specific thrombus formations.

Implications:

  • Surgical thrombectomy is a viable option for managing pedunculated LVT in myocardial infarction patients.
  • Early detection and intervention can mitigate risks associated with left ventricular thrombi.

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