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Related Experiment Videos

[An idiopathic floating left-ventricular thrombus].

T Wohlfarter1, T Hopferwieser, H Schwaighofer

  • 1Universitätsklinik für Innere Medizin, Innsbruck.

Deutsche Medizinische Wochenschrift (1946)
|May 24, 1991
PubMed
Summary

A patient experienced leg pain after appendectomy due to a left ventricular thrombus causing arterial embolism. Systemic thrombolysis successfully dissolved the clot, resolving symptoms and preventing recurrence.

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Area of Science:

  • Cardiology
  • Vascular Surgery

Background:

  • Appendectomy can rarely lead to embolic events.
  • Left ventricular thrombus is a potential source of systemic emboli.

Observation:

  • A 28-year-old man presented with calf pain and absent arterial pulses post-appendectomy.
  • Angiography confirmed embolic occlusion of the left superior femoral artery.
  • Echocardiography revealed a pedunculated left ventricular thrombus.

Findings:

  • Successful surgical embolectomy and anticoagulation were initiated.
  • Systemic thrombolysis with streptokinase and ancrod was required to resolve the ventricular thrombus.
  • The thrombus completely disappeared within two weeks, and the patient remained symptom-free.

Implications:

Related Experiment Videos

  • This case highlights the importance of investigating cardiac sources for peripheral arterial embolism.
  • Systemic thrombolysis can be an effective treatment for large, mobile left ventricular thrombi.
  • Early diagnosis and combined therapeutic approaches are crucial for managing embolic complications.